Abstract
Skin cancer involving the scalp is a common malignancy in the sun belt areas of the United States. Most early lesions are well managed by primary care physicians and dermatologists. Occasionally we encounter basal cell, squamous cell, and rarely Merkel cell carcinomas that have failed local therapy and present with large tumors invading full thickness scalp, calvarium, and even underlying dura. We describe our experience with 52 such tumors and illustrate their resections and reconstruction. For full thickness lesions we generally do a wide field resection of skin and underlying calvarium followed by dural resection. Reconstruction is usually with dural replacement, calvarial reconstruction with titanium mesh, and cutaneous reconstruction with a musculocutaneous free flap or muscular free flap with an overlying skin graft. Complications, survival rates, and recurrence rates will be presented.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 343-349 |
| Number of pages | 7 |
| Journal | Skull Base |
| Volume | 21 |
| Issue number | 6 |
| DOIs | |
| State | Published - 2011 |
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Keywords
- dural invasion
- free flap
- otolaryngology
- scalp carcinoma
- skin cancer
- Skull base
- surgery
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Skull base surgery for the management of deeply invasive scalp cancer. / Donald, Paul James; Boggan, James E; Farwell, D Gregory; Enepekides, Danny J.
In: Skull Base, Vol. 21, No. 6, 2011, p. 343-349.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Skull base surgery for the management of deeply invasive scalp cancer
AU - Donald, Paul James
AU - Boggan, James E
AU - Farwell, D Gregory
AU - Enepekides, Danny J.
PY - 2011
Y1 - 2011
N2 - Skin cancer involving the scalp is a common malignancy in the sun belt areas of the United States. Most early lesions are well managed by primary care physicians and dermatologists. Occasionally we encounter basal cell, squamous cell, and rarely Merkel cell carcinomas that have failed local therapy and present with large tumors invading full thickness scalp, calvarium, and even underlying dura. We describe our experience with 52 such tumors and illustrate their resections and reconstruction. For full thickness lesions we generally do a wide field resection of skin and underlying calvarium followed by dural resection. Reconstruction is usually with dural replacement, calvarial reconstruction with titanium mesh, and cutaneous reconstruction with a musculocutaneous free flap or muscular free flap with an overlying skin graft. Complications, survival rates, and recurrence rates will be presented.
AB - Skin cancer involving the scalp is a common malignancy in the sun belt areas of the United States. Most early lesions are well managed by primary care physicians and dermatologists. Occasionally we encounter basal cell, squamous cell, and rarely Merkel cell carcinomas that have failed local therapy and present with large tumors invading full thickness scalp, calvarium, and even underlying dura. We describe our experience with 52 such tumors and illustrate their resections and reconstruction. For full thickness lesions we generally do a wide field resection of skin and underlying calvarium followed by dural resection. Reconstruction is usually with dural replacement, calvarial reconstruction with titanium mesh, and cutaneous reconstruction with a musculocutaneous free flap or muscular free flap with an overlying skin graft. Complications, survival rates, and recurrence rates will be presented.
KW - dural invasion
KW - free flap
KW - otolaryngology
KW - scalp carcinoma
KW - skin cancer
KW - Skull base
KW - surgery
UR - http://www.scopus.com/inward/record.url?scp=80055043167&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80055043167&partnerID=8YFLogxK
U2 - 10.1055/s-0031-1284216
DO - 10.1055/s-0031-1284216
M3 - Article
C2 - 22547959
AN - SCOPUS:80055043167
VL - 21
SP - 343
EP - 349
JO - Journal of Neurological Surgery, Part B: Skull Base
JF - Journal of Neurological Surgery, Part B: Skull Base
SN - 2193-6331
IS - 6
ER -