Delayed Biopsy Assessment Allegedly To Blame For Patient’s Metastasized Cancer


Skin Cancer ExpertThis case involves a 46-year-old female patient who was seeing a dermatologist for various skin lesions and actinic keratosis management. The patient was advised to use Carac cream as a form of treatment. No biopsies were performed at the time. The lesions were biopsied over two years later, at which point they came back positive for atypical fibroxanthoma as well as superficial squamous cell carcinoma. The patient underwent a Mohs procedure shortly thereafter. One of the lesions was not assessed until several months later despite the fact that the patient had informed the physician of an unusual growth on the neck. Biopsy results showed well-differentiated squamous cell carcinoma. The physician ordered a PET scan later that month and it revealed squamous cell carcinoma along with lymph node involvement. The cancer subsequently metastasized to the patient’s lungs and she eventually passed away from this cancer.

Question(s) For Expert Witness

  • 1. Please describe your background in dermatology as it relates to this case.

Expert Witness Response E-042624

I am a board-certified MD and Ph.D. dermatologist. I routinely perform skin cancer checks and screenings. I currently serve as an assistant professor of dermatology as well as an assistant attending dermatologist at two Ivy League university hospitals. I have encountered patients with actinic keratosis throughout my years of practice. I routinely lecture to physicians, residents, and medical students on this subject.

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