Chronic Scalp Ulcer 35 Years after Skull Trepanation Surgery and Radiotherapy for Oligodendroglioma: A Further Example of Immunocompromised Cutaneous Districts


  • Uwe Wollina Städtisches Klinikum Dresden, Dresden, Sachsen, Germany; Academic Teaching Hospital Dresden-Friedrichstadt
  • Andreas Nowak Department of Anesthesiology & Intensive Care Medicine, Emergency Medicine & Pain Management, Dresden
  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, Sofia; Onkoderma - Policlinic for Dermatology and Dermatologic Surgery, Sofia
  • Torello Lotti Università Degli Studi "G. Marconi”, Rome, Italy, Facoltà di Medicina e Chirurgia - Chair of Dermatology, University of Rome, Rome



Chronic scalp ulcer, Oligodendroglioma, Second malignancy, Complex reconstruction, Immunocompromised cutaneous district


BACKGROUND: Chronic ulcers of the scalp have a variety of underlying pathologies. In case of cancer patients, a second malignancy must be excluded.

CASE REPORT: A 78-year-old female patient presented to our department with a large soft tissue defect on the frontotemporal left side. The lesion was about 3 cm in diameter with exposed bone and inflammatory soft tissue on the edges of the defect. About 35 years ago, she had undergone a combined neurosurgery with skull trepanation and radiotherapy for an oligodendroglioma. Three years ago, sandwich transplantation with the dermal template and meshed skin graft failed. Now she re-presented with inflammatory ulcer borders. A complex defect repair was performed after exclusion of a second malignancy.

CONCLUSION: Chronic scalp ulcers may be the result immunocompromised cutaneous districts and need a complex reconstruction.


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How to Cite

Wollina U, Nowak A, Tchernev G, Lotti T. Chronic Scalp Ulcer 35 Years after Skull Trepanation Surgery and Radiotherapy for Oligodendroglioma: A Further Example of Immunocompromised Cutaneous Districts. Open Access Maced J Med Sci [Internet]. 2017 Dec. 31 [cited 2024 Jul. 23];6(1):55-7. Available from:

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