Malignant neoplasms of the scalp: Etiology, resection, and reconstruction

L. B. Minor, W. R. Panje

Research output: Contribution to journalReview articlepeer-review

Abstract

Malignant scalp neoplasms initially spread by radial extension with deep invasion occurring relatively late in the course of disease. Basal cell carcinomas have the highest incidence followed by squamous cell carcinomas and melanomas. Surgical excision provides the best chance of cure in the majority of cases. Tumor histology influences decisions about margins of resection and regional lymph node dissection. Primary closure usually can be obtained for scalp defects measuring up to 3 cm in diameter. Larger defects can be reconstructed with skin grafts, local flaps, musculocutaneous flaps, free flaps, or transposition flaps following tissue expansion.

Original languageEnglish (US)
Pages (from-to)279-293
Number of pages15
JournalOtolaryngologic Clinics of North America
Volume26
Issue number2
StatePublished - Jan 1 1993

ASJC Scopus subject areas

  • Otorhinolaryngology

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