Dermal Pleomorphic Sarcoma of the Scalp â€“ Report of Two Cases
Keywords:Head-and-neck tumors, Sarcoma, Dermal pleomorphic sarcoma, Surgery, Differential diagnosis
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 was unremarkable in both patients.
CONCLUSIONS: Sarcomatous tumours of the scalp should be completely excised with a 3D margin control. Dermal pleomorphic sarcoma is a more aggressive variant compared to atypical fibroxanthoma despite some similarities.
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Copyright (c) 2019 Uwe Wollina, Jacqueline SchÃ¶nlebe, Violetta Bujok, Torello Lotti, Georgi Tchernev, Ivanka Temelkova, Aleksandra Vojvodic
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