Six primary squamous cell carcinomas of the head and neck

The chronic irritation to mucosa of the head and neck area by carcinogen, commonly stemming from heavy usage of betel nuts, tobacco and alcohol, leads to dysplastic mucosal changes and eventually, multiple primary squamous cell carcinomas. With improvements in locoregional control, the problem of multiple primary malignancies of the head and neck is becoming apparent. We reported a unique case of six primary squamous cell carcinomas in the head and neck area. We attribute the success of controlling cancer in this patient to our alert attitude and prompt management. Surgery remains one of the best options in treating multiple head and neck malignancies, as surgery offers an effective, quick and low morbidity approach, and does not take the chance of inducing another cancer.