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Clown nose: a case of disfiguring nodular squamous cell carcinoma of the face

2014; BMJ; Linguagem: Inglês

10.1136/bcr-2013-200471

1757-790X

Giacomo Colletti, Fabiana Allevi, Laura Moneghini, Marina Palvarini,

Tumors and Oncological Cases

‘Clown nose’ (CN) is the common medical term referring to a reddish-brown bulge involving the tip of the nose, reminding of a clown's fake red nose. Reports about these tumours are scarce. Most reports refer to metastatic skin manifestation of systemic malignancies: this condition has been rarely described as a primary skin neoplasm. We report a case of a 31-year-old patient with a giant cutaneous squamous cell carcinoma of the nose which evolved into a CN. After ruling out genetic or immune risk factors, the patient was treated with surgical excision of the lesion and local reconstruction with good aesthetic outcome and no recurrence over a 2-year follow-up.