The management of non-melanocytic skin malignancies of the scalp and calvarium
Background: The management of advanced cutaneous malignancies has been controversial. Thirteen patients with nonmelanoma skin neoplasias that had invaded the bone of the calvarium and scalp were treated in our centre. Objective: The purpose of this study was to evaluate our experience in treating th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2014-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129621 |
| _version_ | 1818083699984433152 |
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| author | Harun Çöloğlu Burak Özkan Mesut Şener Ahmet Çağri Uysal Hüseyin Borman |
| author_facet | Harun Çöloğlu Burak Özkan Mesut Şener Ahmet Çağri Uysal Hüseyin Borman |
| author_sort | Harun Çöloğlu |
| collection | DOAJ |
| description | Background: The management of advanced cutaneous malignancies has been controversial. Thirteen patients with nonmelanoma skin neoplasias that had invaded the bone of the calvarium and scalp were treated in our centre. Objective: The purpose of this study was to evaluate our experience in treating these malignancies with scalp resection and full or partial thickness cranium reconstruction. Patients and Methods: From June 2008 to March 2012, thirteen patients with locally advanced tumours of the scalp invading the calvarium were treated with wide local excision of the scalp combined with an underlying craniectomy and dural resection if needed. Results: Using histopathological diagnosis eleven patients were diagnosed with basal cell carcinoma and two patients with squamous cell carcinoma. A full thickness cranium resection was performed in seven patients and partial in six patients. Conclusion: These large cancers occasionally invade adjacent structures, as well as bone, presenting a challenging surgical problem. In general, giant rotational or island scalp flaps and free tissue transfers are needed to close the area. Finding clean margins are an important part of treating patients with bone involvement and can usually be attained using outer tabula curettage thus preventing unnecessary morbidity. |
| first_indexed | 2024-12-10T19:42:09Z |
| format | Article |
| id | doaj.art-c17ded933b9048d58e4559befa0024ce |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-10T19:42:09Z |
| publishDate | 2014-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-c17ded933b9048d58e4559befa0024ce2022-12-22T01:35:59ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2014-01-014701364210.4103/0970-0358.129621The management of non-melanocytic skin malignancies of the scalp and calvariumHarun Çöloğlu0Burak Özkan1Mesut Şener2Ahmet Çağri Uysal3Hüseyin Borman4Plastic and Reconstructive Surgery Clinic, Faculty of Medicine, Baskent University, Ankara, TurkeyPlastic and Reconstructive Surgery Clinic, Faculty of Medicine, Baskent University, Ankara, TurkeyAnesthesiology Clinic, Faculty of Medicine, Baskent University, Adana, TurkeyPlastic and Reconstructive Surgery Clinic, Faculty of Medicine, Baskent University, Ankara, TurkeyPlastic and Reconstructive Surgery Clinic, Faculty of Medicine, Baskent University, Ankara, TurkeyBackground: The management of advanced cutaneous malignancies has been controversial. Thirteen patients with nonmelanoma skin neoplasias that had invaded the bone of the calvarium and scalp were treated in our centre. Objective: The purpose of this study was to evaluate our experience in treating these malignancies with scalp resection and full or partial thickness cranium reconstruction. Patients and Methods: From June 2008 to March 2012, thirteen patients with locally advanced tumours of the scalp invading the calvarium were treated with wide local excision of the scalp combined with an underlying craniectomy and dural resection if needed. Results: Using histopathological diagnosis eleven patients were diagnosed with basal cell carcinoma and two patients with squamous cell carcinoma. A full thickness cranium resection was performed in seven patients and partial in six patients. Conclusion: These large cancers occasionally invade adjacent structures, as well as bone, presenting a challenging surgical problem. In general, giant rotational or island scalp flaps and free tissue transfers are needed to close the area. Finding clean margins are an important part of treating patients with bone involvement and can usually be attained using outer tabula curettage thus preventing unnecessary morbidity.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129621bone invasioncalvariumnon-melanocyticreconstructionscalpskin malignancies |
| spellingShingle | Harun Çöloğlu Burak Özkan Mesut Şener Ahmet Çağri Uysal Hüseyin Borman The management of non-melanocytic skin malignancies of the scalp and calvarium Indian Journal of Plastic Surgery bone invasion calvarium non-melanocytic reconstruction scalp skin malignancies |
| title | The management of non-melanocytic skin malignancies of the scalp and calvarium |
| title_full | The management of non-melanocytic skin malignancies of the scalp and calvarium |
| title_fullStr | The management of non-melanocytic skin malignancies of the scalp and calvarium |
| title_full_unstemmed | The management of non-melanocytic skin malignancies of the scalp and calvarium |
| title_short | The management of non-melanocytic skin malignancies of the scalp and calvarium |
| title_sort | management of non melanocytic skin malignancies of the scalp and calvarium |
| topic | bone invasion calvarium non-melanocytic reconstruction scalp skin malignancies |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129621 |
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