Cutaneous squamous cell carcinoma of the scalp in the immunocompromised patient: review of 53 cases

Oral and Maxillofacial Surgery
Sameep KadakiaMoustafa Mourad

Abstract

We analyzed outcomes from immunocompromised patients with scalp squamous cell carcinoma (SCC) treated with surgical excision with and without radiation in order to explore 3-year disease-free survival and overall survival. The study design was a retrospective chart review. This study was conducted in a private practice setting. The study included 53 immunocompromised patients with an average age of 63.2 years, with scalp squamous cell carcinoma. Pre-operative imaging dictated the extent of resection. Patients with bony involvement received wide local excision including full-thickness craniectomy and cranioplasty. Patients without bony involvement underwent wide local excision and outer-table calvarial resection. All patients were recommended to have post-operative radiation. Patients were followed for a minimum of 3 years. A total of 53 patients were included in the study. Six patients had pre-operative CT showing bone involvement and were treated with full-thickness craniectomy along with post-operative radiation. Fourteen patients without bone involvement on pre-operative CT were found to have positive bone involvement on final pathology. Forty-five patients underwent post-operative radiation. Patients treated with adjuvant r...Continue Reading

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Citations

Feb 14, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·M La PlacaE Dika
Jun 20, 2017·Journal of Surgical Oncology·Markus BrunnerJonathan R Clark
Oct 15, 2019·The Journal of Craniofacial Surgery·Sophie E C M van de VijfeijkenWillem H Schreuder
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