{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:30:00Z","timestamp":1792197000098,"version":"4.4.0"},"reference-count":36,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Squamous cell carcinoma (SCC) is the second most common malignancy skin cancer. It is characterized by abnormal, accelerated growth of squamous cells (SCs). SCC occurs when DNA damage from exposure to ultraviolet radiation or other damaging agents trigger abnormal changes in the SCs, presenting as painless lesions on areas of high sun exposure, such as the dorsum of the hand and upper extremity. For most skin SCC, the surgical excision alone is standard practice. However, recent efforts in new treatment strategies have involved around adjuvant or concomitant electrochemotherapy (ECT). ECT is a non-thermal tumor ablation modality, safe and effective on any type of solid tumor. An 87-year-old patient affected by hand SCC with invasion of deep structures including tendons was treated with neoadjuvant intra-tumoral ECT sessions followed by a selective surgical removal and reconstruction of the substance loss with collagen dermal template (CDT). Two neoadjuvant intra-tumoral ECT procedures, at distance of 3 months, with the aim to reduce the tumor size before a selective surgery, were performed. This study shows that combined surgical selective excision with ECT and CDT is a valid technique for the extended-deep dorsal hand tumor lesions reconstruction.<\/jats:p>","DOI":"10.3390\/curroncol28030160","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T11:06:01Z","timestamp":1620212761000},"page":"1718-1727","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Malignant Skin Cancer Excision in Combined Therapy with Electro-Chemotherapy and Dermal Substitute"],"prefix":"10.3390","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1712-6702","authenticated-orcid":false,"given":"Barbara","family":"De Angelis","sequence":"first","affiliation":[{"name":"Surgical Science Department, Medical School, University \u201cTor Vergata\u201d, 00133 Rome, Italy"},{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Balzani","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Pagnotta","sequence":"additional","affiliation":[{"name":"Hand and Microsurgery Unit, Jewish Hospital, 00148 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Tati","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8241-1812","authenticated-orcid":false,"given":"Fabrizio","family":"Orlandi","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarida Fernandes Lopes Morais","family":"D\u2019Autilio","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Cervelli","sequence":"additional","affiliation":[{"name":"Surgical Science Department, Medical School, University \u201cTor Vergata\u201d, 00133 Rome, Italy"},{"name":"Plastic and Reconstructive Surgery, Complex Operative Unit, \u201cPoliclinico Casilino\u201d, 00169 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-3977","authenticated-orcid":false,"given":"Pietro","family":"Gentile","sequence":"additional","affiliation":[{"name":"Surgical Science Department, Medical School, University \u201cTor Vergata\u201d, 00133 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1002\/jso.22029","article-title":"Local and intralesional therapy of in-transit melanoma metastases","volume":"104","author":"Testori","year":"2011","journal-title":"J. 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