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Case Reports
. 2023 Feb 13;15(2):e34938.
doi: 10.7759/cureus.34938. eCollection 2023 Feb.

Management of Locally Advanced Cutaneous Squamous Cell Carcinoma of the Scalp: A Case Report and Literature Review

Elle Nuttall  1 , Ryan M Hudnall  2 , Tony Richa  2
Affiliations
Case Reports

Management of Locally Advanced Cutaneous Squamous Cell Carcinoma of the Scalp: A Case Report and Literature Review

Elle Nuttall et al. Cureus. .

Abstract

Cutaneous squamous cell carcinoma (cSCC) is a common malignancy in the head and neck region. Although rarely metastatic, it has the potential to become locally aggressive and invade surrounding structures. The involvement of the scalp with cSCC presents a unique surgical challenge given its proximity to vital structures. We present a case of locally advanced cutaneous scalp squamous cell carcinoma with involvement of the skull and dural involvement not previously demonstrated on imaging. This case required complex multidisciplinary surgical management from both neurosurgery and head and neck surgery for treatment, preservation of essential tissues, and cosmesis.

Keywords: cutaneous malignancy; cutaneous squamous cell carcinoma; head and neck cancer surgery; head and neck neoplasms; head and neck surgery; head and neck tumors and diseases; neurosurgery; squamous cell carcinoma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Sagittal images from head CT with contrast demonstrating scalp lesion invading the skull
Figure 2
Figure 2. Cutaneous squamous cell carcinoma on the vertex of the scalp measuring 10 cm in diameter
Figure 3
Figure 3. Polyetheretherketone cranioplasty, left latissimus dorsi free flap, and split-thickness skin graft repair of scalp defect
See this image and copyright information in PMC

References

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