2019
DOI: 10.3889/oamjms.2019.274
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Dermal Pleomorphic Sarcoma of the Scalp – Report of Two Cases

Abstract: BACKGROUND: Neoplasias of the UV-exposed head-and-neck area of the elderly include non-melanoma skin cancers of various origin. CASE REPORT: We report two cases of rapid growing exophytic scalp tumors on chronic sun-damaged skin, in one case with a tendency of bleeding. The tumours were removed by wide surgical excision with 3D margin control, and the resulting defect was covered by a meshed split skin graft. Histopathologic examination disclosed a dermal pleomorphic sarcoma in both cases. The staging wa… Show more

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Cited by 9 publications
(3 citation statements)
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“…Histologically, differentiation from its benign counterpart is difficult as both have similar histopathological features of spindle cells and CD 10 positivity. 5 Differentiation of benign and malignant tumors should be done clinically, radiologically and by histopathology. Clinical and imaging findings are helpful in cases of small tumors with equivocal pathological findings.…”
Section: Discussionmentioning
confidence: 99%
“…Histologically, differentiation from its benign counterpart is difficult as both have similar histopathological features of spindle cells and CD 10 positivity. 5 Differentiation of benign and malignant tumors should be done clinically, radiologically and by histopathology. Clinical and imaging findings are helpful in cases of small tumors with equivocal pathological findings.…”
Section: Discussionmentioning
confidence: 99%
“…Although PDS tends to develop as small, slow-growing nodules on the skin, the lesions become more aggressive as they progress into deeper tissues. [ 2 ] We report a 78-year-old man who presented with a bleeding nodule on the left scalp clinically consistent with squamous cell carcinoma (SCC), amelanotic melanoma and AFX. After being diagnosed with PDS, he required surgical resection and primary repiar without flap reconstruction.…”
Section: Introductionmentioning
confidence: 99%
“… 1 Several other risk factors for AFX include organ transplantation, radiation, and xeroderma pigmentosum. 2 , 3 …”
Section: Introductionmentioning
confidence: 99%