2004
DOI: 10.1111/j.1524-4725.2004.30123.x
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Squamous Cell Carcinoma of the Scalp After Radiotherapy for Tinea Capitis

Abstract: Patients who received scalp radiotherapy in childhood are at increased risk of developing nonmelanoma skin cancer. The unique anatomy of scalp tissue makes it difficult to close excisional defects. Skin grafting often fails, and complex flaps or the importation of vascularized tissue may be required.

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Cited by 7 publications
(4 citation statements)
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“…Late sequelae induced by radiation therapy include sclerosis and atrophy of skin and subcutaneous tissue (chronic radioder-matitis) and the development of nonmelanoma skin cancers. [1][2][3][4][5][6] The occurrence of malignant melanoma in skin areas exposed to ionizing radiations has been rarely reported. 7,8 The carcinogenetic potential of ionizing radiations on melanocytes is still unknown.…”
Section: Discussionmentioning
confidence: 99%
“…Late sequelae induced by radiation therapy include sclerosis and atrophy of skin and subcutaneous tissue (chronic radioder-matitis) and the development of nonmelanoma skin cancers. [1][2][3][4][5][6] The occurrence of malignant melanoma in skin areas exposed to ionizing radiations has been rarely reported. 7,8 The carcinogenetic potential of ionizing radiations on melanocytes is still unknown.…”
Section: Discussionmentioning
confidence: 99%
“…It should be kept in mind that radiation therapy does have the potential for adverse effects, including carcinogenesis, as described using the Keinbock-Adamson method for the treatment of tinea capitis. 19,20 However, in cases of very severe, refractory dissecting cellulitis, this small risk may be outweighed by the physical agony and emotional anguish of the disease itself. Also, the chronic cicatricial inflammation of the disease itself can predispose patients to squamous cell carcinoma regardless of treatment.…”
Section: Discussionmentioning
confidence: 99%
“…In our study, 21.6% of patients had a history of exposure to X-ray for treating tenia capitis and the minimum duration between exposure to radiation and development of cancer was 50 years. It was reported that 200000 children were treated by this therapeutic protocol in the United States between 1930 and 1950 and further follow-ups were indicative of at least a fourfold rise in the prevalence of NMSC in these people, compared to other unexposed members of the public, and that the prevalence of BCC in these individuals was higher than SCC (19). Previous studies have shown that patients with chronic radio dermatitis characterized by atrophy of the skin, skin pigmentation disorders, and xerosis are more susceptible to cancer development; a finding consistent with the data found in the present study (15).…”
Section: Discussionmentioning
confidence: 99%