Presentation
Recurrence of previously resected cutaneous SCC over right occiput.
Patient Data
Age: 40 years
Gender: Male
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MRI demonstrates an enhancing, irregular, cutaneous and subcutaneous mass in the occipital region. An enhancing cylindrical structure extends anteriorly, passing along the superficial surface of the obliquus capitis inferior and terminating at the C2 vertebral foramen, consistent with the course of the greater occipital nerve.
Case Discussion
Radical excision involved C1-C2 laminectomy and confirmed intraneural SCC along the greater occipital nerve.
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