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. 2017 Jul 19;5(4):414-419.
doi: 10.3889/oamjms.2017.115. eCollection 2017 Jul 25.

Scalping Surgery - Dermatologic Indications beyond Curative Primary Skin Cancer Surgery

Uwe Wollina  1 , Dana Langner  1 , Gesina Hansel  1 , André Koch  1 , Georgi Tchernev  2
Affiliations

Scalping Surgery - Dermatologic Indications beyond Curative Primary Skin Cancer Surgery

Uwe Wollina et al. Open Access Maced J Med Sci. .

Abstract

Skin tumours are among the most frequent tumour types of mankind. In the case of large tumours, field cancerization, or satellitosis scalping surgery is a possible option. The procedure can also be used in a palliative setting with tumour debulking. Less common indications are multiple benign tumours of the scalp and chronic inflammatory scalp dermatoses not responding to medical treatment. We present a case series and discuss surgical modalities beyond curative surgery of primary skin cancer.

Keywords: Skin tumours; dermal template; mesh graft transplantation; scalp; scalping surgery.

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Figures

Figure 1
Figure 1
Satellitosis of multiple non-pigmented melanoma metastases
Figure 2
Figure 2
After scalping surgery and meshed skin graft transplantation. The marked area was removed – it was a milia-like formation, no metastasis
Figure 3
Figure 3
Gorlin-Goltz syndrome with multiple basal cell carcinomas, some ulcerated
Figure 4
Figure 4
After scalping surgery
Figure 5
Figure 5
Five days after meshed skin graft transplantation
Figure 6
Figure 6
Relapsing Amelanotic lentigo maligna melanoma with penetration of the outer table of the scull
Figure 7
Figure 7
Operation situs
Figure 8
Figure 8
Stable meshed skin graft ten days after surgery
Figure 9
Figure 9
Giant trichilemmal carcinoma of the scalp
Figure 10
Figure 10
MRI demonstrating penetration of the scull and impression of the sagittal sinus
Figure 11
Figure 11
Operation situs
Figure 12
Figure 12
Dissecting folliculitis with severe inflammation and oozing lesions
Figure 13
Figure 13
Two years after scalping surgery with stable meshed skin transplant take. No relapse of dissecting folliculitis.
See this image and copyright information in PMC

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