Malignant cutaneous tumors of the scalp: A study of demographic characteristics and histologic distributions of 398 Taiwanese patients

Chiu, Chih‐Yung; Lin, Chyi-Yih; Kuo, Tseng‐Tong; Kuan, Yue-Zon; Chen, Min-Jing; Ho, Hung‐Yao; Yang, Li-Chen; Chen, Chien‐Hsun; Shih, I‐Hsin; Hong, Hong‐Shang; Chuang, Ya Hui

doi:10.1016/j.jaad.2006.08.060

Cited by 73 publications

(64 citation statements)

References 28 publications

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“…The scalp had been described as a common location for distant metastases. [20] Distant metastasis was seen in both RCC, male breast and lymphomas. Scalp CM are rare and have been reported in <2 % cases and usually recognized in lung (23.5%),colorectal (11.7%), liver and breast (7.84% each).In our study,28.3 % of cases had metastases to head and neck area.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Metastases of Internal Malignancies: A Retrospective Study from a Tertiary Care Centre in Sub-Himalayan Region

Gupta¹

2017

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Section: Discussionmentioning

confidence: 99%

Cutaneous Metastases of Internal Malignancies: A Retrospective Study from a Tertiary Care Centre in Sub-Himalayan Region

Gupta¹

2017

jmscr

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“…SFT cells stain for CD34, and CD99 and variably stain for epithelial membrane antigen, bcl-2, and smooth muscle actin and limited reactivity to S-100 [13]. The diagnosis of MSFT versus SFT is based on mitotic activity (4 mitoses per 10 high powered field), [5 cm size of lesion, high degree of cellularity, presence of immature and pleomorphic tumor cells and foci of hemorrhage and necrosis [14].…”

Section: Discussionmentioning

confidence: 99%

Malignant Solitary Fibrous Tumor of the Scalp

Shirley

Kang

Sakamoto

2015

J. Maxillofac. Oral Surg.

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Solitary fibrous tumors are an uncommon slow growing benign neoplasm originally described as a pleural neoplasm but can also be found in the lung, mediastinum, peritoneum, or any other sites including the head and neck. Case ReportA 37 year old female presented to the Oral and Maxillofacial Surgery clinic complaining of a bump on her posterior scalp. She was referred to our clinic by general surgery for evaluation and removal of this lesion. She states that the lesion had slowly begun to increase in size approximately 2 years ago, but was first noticed approximately 4 years ago. She stated that the lesion was very uncomfortable for her and hurt at times when sleeping. On clinical examination, there was a well-circumscribed mass at the right occipital quadrant. The lesion was approximately 5 9 6 cm in size. It was soft, not fluctuant, with a sessile base and mildly tender to palpation. No overlying erythema or ulceration was noted.It was difficult to ascertain the mobility of the lesion due to the location in the posterior occipital region and the thickness of the scalp tissue but appeared to be mobile. No neurological deficits were noted. A Computed Tomography (CT) scan was performed, revealing a well circumscribed 65 mm 9 30 mm 9 60 mm right parietal soft tissue mass of heterogeneous densities which was contiguous with the calvarium over 50 mm without bony erosion or remodeling and sharply defined from adjacent soft tissues (Fig. 1). After the risks, benefits, and alternatives were discussed with the patient, informed consent of excisional biopsy was signed. The patient was then prepped and draped in the standard sterile fashion. An incision was made using a #15 blade taking an elliptical portion of tissue overlying the lesion. After initial dissection, it was noted that the lesion

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“…In one series by Chiu et al [6] studying a total of 398 Taiwanese patients with malignant scalp tumors, BCC accounted for 41.2% and SCC for 16.6% of scalp tumors. In this series, melanoma accounted for only 2% of malignant scalp tumors, whereas metastatic malignancies were the third most common malignancy, representing 12.8% of the total.…”

Section: Epidemiologymentioning

confidence: 99%

“…In addition, as a result of the high vascularity of this anatomic region, the scalp is a very common location for the appearance of cutaneous metastases of a wide variety of primary internal malignancies. [6] It is always important to include these in the differential of any dermal nodule appearing on the scalp.…”

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confidence: 99%

Primary and Metastatic Malignant Tumors of the Scalp

Richmond

Duvic

MacFarlane

2010

American Journal of Clinical Dermatology

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In recent years there have been a number of interesting advances in several topics relating to the diagnosis and treatment of cutaneous lesions with particular applicability to primary and metastatic malignancies of the scalp. In this article we provide a general update of advances in this field, and cover the more salient points relating to a variety of malignant tumors that have been reported to appear on the scalp as primary or metastatic lesions. A search and review of the literature on PubMed was made to identify and discuss relevant points relating to diagnosis and treatment of primary and metastatic tumors of the scalp. We describe the anatomy of the scalp, epidemiology of scalp tumors, theories of field cancerization and field therapy, photodynamic therapy, excisional surgical techniques and reconstruction, lymphoscintigraphy, chemoprevention, as well as details relating to atypical fibroxanthoma, Brooke-Spiegler syndrome, nevus sebaceus, cutaneous lymphoma, and metastatic disease. There is a very broad differential diagnosis for scalp nodules, which includes many different benign and malignant diseases, and treatment should be tailored accordingly. Given the potential for poor prognosis with some of the more aggressive malignancies that can be found in this anatomic area, the importance of a thorough physical examination cannot be emphasized enough, and early detection is critical to provide patients with the best chance for a favorable outcome.

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Malignant cutaneous tumors of the scalp: A study of demographic characteristics and histologic distributions of 398 Taiwanese patients

Cited by 73 publications

References 28 publications

Cutaneous Metastases of Internal Malignancies: A Retrospective Study from a Tertiary Care Centre in Sub-Himalayan Region

Cutaneous Metastases of Internal Malignancies: A Retrospective Study from a Tertiary Care Centre in Sub-Himalayan Region

Malignant Solitary Fibrous Tumor of the Scalp

Primary and Metastatic Malignant Tumors of the Scalp

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