Keratoacanthomas and Squamous Cell Carcinomas on Tattoos: A Review of 42 Cases

Kluger, Nicolas; Cribier, B.

doi:10.1159/000509728

Cited by 12 publications

(26 citation statements)

References 18 publications

(22 reference statements)

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“…Various neoplasms have been reported in tattoos, mainly squamouscell carcinoma, keratoacanthoma, basal cell carcinoma, and melanoma. 37,38 The reported number of skin cancer in tattoos in our study (0.6%) is low, comparable to previous other studies. Therefore, despite potential carcinogenic substances in tattoo ink, the association between skin cancer and tattoo has to be considered as coincidental thus far.…”

Section: Neoplasmssupporting

confidence: 88%

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Complications of tattoos and permanent makeup: overview and analysis of 308 cases

Bent

Rauwerdink

Oyen

et al. 2021

J of Cosmetic Dermatology

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Background: Worldwide 10-20% of the population is tattooed. However, tattoo complications can occur, such as allergic tattoo reactions, infections, and manifestations of autoimmune dermatoses. Despite the growing popularity of tattoos and changes in tattoo ink composition over the last decades, little is known about these complications, its clinical aspects, pathomechanism, and relative occurrence.Objective: The aim of this article is to describe the types and clinical aspects of dermatological tattoo complications, its relative occurrence and underlying conditions. Methods:We performed a retrospective cohort study enrolling all patients with tattoo complications from the Tattoo Clinic. Tattoo complications were categorized into infections, inflammatory tattoo reactions, neoplasms, or miscellaneous reactions and correlated to clinical data.Results: Of the total of 326 patients, 301 patients were included with 308 complications. The majority of the complications were chronic: 91.9%. Allergic red tattoo reactions and chronic inflammatory black tattoo reactions (CIBTR) accounted for 50.2% and 18.2%, respectively, of all tattoo complications. Of these CIBTR reactions, extracutaneous involvement was found in 21.4%, including tattoo-associated uveitis (7.1%) and systemic sarcoidosis (14.2%). Of all black tattoo reactions, systemic sarcoidosis was found in 7.8%. Conclusion:Tattoos can cause a wide range in complications that may start years after getting the tattoo. The most frequent tattoo reactions are allergic red tattoo reactions and chronic inflammatory black tattoo reactions, making these the most relevant for the dermatologist. CIBTR have a high percentage of multi-organ involvement, and therefore, screening for sarcoidosis, including ocular involvement, is advised.

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Section: Neoplasmssupporting

confidence: 88%

“…Various neoplasms have been reported in tattoos, mainly squamous‐cell carcinoma, keratoacanthoma, basal cell carcinoma, and melanoma 37,38 …”

Section: Discussionmentioning

confidence: 99%

Complications of tattoos and permanent makeup: overview and analysis of 308 cases

Bent

Rauwerdink

Oyen

et al. 2021

J of Cosmetic Dermatology

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“…These include not only benign neoplasms (Table 1) [3][4][5][6][7][8][9][10][11][12][13], but also lymphoid conditions (Table 2) [12,14,15]. In addition, squamous neoplasms (similar to the squamous cell carcinoma observed in the man in this report) and other malignancies have been noted to appear within a tattoo (Table 3) [1][2][3]12,[16][17][18][19]. a This is also referred to as an epidermal inclusion cyst or an epidermoid cyst.…”

Section: Discussionmentioning

confidence: 80%

“…Epithelial-derived tumors are the malignant cutaneous neoplasm most frequently observed to develop within a tattoo (Table 3) [1][2][3]12,[16][17][18][19]. These include at least 43 patients with squamous neoplasms such as keratoacanthoma and squamous cell carcinoma, including the man in this report [1,2]. They also consist of a minimum of 22 individuals with basal cell carcinoma [12,17].…”

Section: Neoplasm Referencesmentioning

confidence: 96%

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Squamous Cell Carcinoma and Tattoo: A Man With a Tattoo-Associated Squamous Cell Carcinoma and Review of Benign Tumors, Lymphoid Conditions, and Malignant Neoplasms Occurring Within a Tattoo

Cohen¹

2022

Cureus

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Tattoos, a common form of body adornment, have been associated with numerous cutaneous complications. These include not only benign neoplasms and malignant tumors but also lymphoid conditions occurring within the tattoo. Tattoo-associated dermatomyofibroma, epidermoid inclusion cyst, hemangioma, lipoma, milia, and pilomatricoma are benign lesions that have each only been described in one individual. However, there are only a few reports of persons with either dermatofibroma or seborrheic keratoses within their tattoo; also, benign nevi within a tattoo may be more common than the number of reported individuals. In contrast, there are multiple patients with tattoo-associated pseudoepitheliomatous hyperplasia. Lymphoid conditions that have been observed in a tattoo include single patients with either lymphomatoid papulosis or B-cell lymphoma; however, several individuals have been described with pseudolymphoma developing within their tattoo. Tattoo-associated cutaneous cancer predominantly includes individuals with squamous neoplasms (such as keratoacanthomas and squamous cell carcinomas) and malignant melanoma; however, basal cell carcinoma originating within a tattoo is not uncommon. A 57year-old man is described who received a tattoo on his left forearm 35 years earlier; he subsequently developed a squamous cell carcinoma in the black tattoo ink. In contrast to the patient in this report, tattooassociated squamous neoplasms usually develop within a median of four weeks after tattoo inoculation, touch-up, or laser-assisted removal. Also, in contrast to the reported patient, tattoo-associated squamous neoplasms are more commonly observed in red tattoos. However, malignant melanoma and basal cell carcinoma more frequently occur in black and darker-pigmented tattoos. In addition, dermatofibrosarcoma protuberans, cutaneous leiomyosarcoma, and invasive breast duct carcinoma cutaneous metastases have each been described to appear within a patient's tattoo. It remains to be determined whether tattoo inoculation or tattoo pigment, or both have an epidemiologic role in the subsequent development of benign, lymphoid, or malignant lesions within the tattoo. Several observations support either a direct or indirect role of tattooing as a contributing factor and tattoo pigment as a carcinogen in the etiology of tattoo-associated malignancies. Investigation into the possible relationship between tattoos and cancer development is in progress.

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