Case Reports
14 March 2024

A case of grade 3 squamous cell carcinoma successfully treated with methotrexate

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Cutaneous squamous cell carcinoma (cSCC) is a nonmelanoma skin cancer whose lesions mostly arise on lightexposed sites. Patients with compromised immunity, Fitzpatrick I or II skin phototype, and previous burn scars or radiations are more at risk of developing it. The treatment of choice for cSCC is surgery; however nonsurgical options are generally reserved for patients who refuse a very invasive treatment or cannot tolerate a surgical procedure. We report a case of cSCC successfully treated with intralesional methotrexate.

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Citations

Cazaña TG, Salazar N, Zamarrón, et al. Resistance of Nonmelanoma Skin Cancer to Nonsurgical Treatments. Part II: Photodynamic Therapy, Vismodegib, Cetuximab, Intralesional Methotrexate, and Radiotherapy. Actas Dermo- Sifiliográficas 2016;107:740-50. DOI: https://doi.org/10.1016/j.adengl.2016.08.017
Vega-González LG, Morales-Pérez MI, Molina-Pérez T, Sereno-Gómez B. Successful treatment of squamous cell carcinoma with intralesional methotrexate. J Am Acad Dermatol 2022;24:68-70. DOI: https://doi.org/10.1016/j.jdcr.2022.04.016
Bergón-Sendín M, Pulido-Pérez A, Rosell-Díaz AM, et al. Neoadjuvant intralesional methotrexate in small-sized cutaneous squamous cell carcinoma: a prospective study in 84 patients. Aust J Dermatol 2020;62:e308-e310. DOI: https://doi.org/10.1111/ajd.13520
Bergón-Sendín M, Parra-Blanco V, Pulido-Pérez A, et al. Histological findings after intralesional methotrexate treatment in cutaneous squamous cell carcinoma. Dermatol Ther 2020;33:e14377. DOI: https://doi.org/10.1111/dth.14377
Salido-Vallejo R, Cuevas-Asencio I, Garnacho-Sucedo G, et al. Neoadjuvant intralesional methotrexate in cutaneous squamous
cell carcinoma: a comparative cohort study. J Eur Acad Dermatol Venereol 2015;30:1120-4. DOI: https://doi.org/10.1111/jdv.13266

How to Cite



A case of grade 3 squamous cell carcinoma successfully treated with methotrexate. (2024). Dermatology Reports, 16(1). https://doi.org/10.4081/dr.2024.9647