Radical Tumor Excision of Squamous Cell Carcinoma in the Perineal Region with Complex Oncological Challenges

Background: Squamous cell carcinoma (SCC) of the perineal region is a rare and complex malignancy that often presents in advanced stages. Curative treatment is challenging due to anatomical constraints and delayed diagnosis [1, 2, 6].

Case Presentation: We report a case of a middle-aged male with moderately differentiated SCC involving the perianal and perineal regions. Despite initial chemoradiation, the disease progressed, necessitating radical surgical excision and fecal diversion via colostomy. Postoperative recovery was uneventful, with significant symptom relief and improved quality of life.

Conclusion: Radical surgery remains a viable option in select cases of advanced perineal SCC, offering substantial palliative benefits [8]. A multidisciplinary, individualized treatment approach is critical for optimizing patient outcomes in such complex oncological scenarios.