Wollina Uwe, Schönlebe Jacqueline, Bujok Violetta, Lotti Torello, Tchernev Georgi, Temelkova Ivanka, Vojvodic Aleksandra
Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
Institute of Pathology "Georg Schmorl", Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
Open Access Maced J Med Sci. 2019 May 30;7(18):2982-2984. doi: 10.3889/oamjms.2019.274. eCollection 2019 Sep 30.
Neoplasias of the UV-exposed head-and-neck area of the elderly include non-melanoma skin cancers of various origin.
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.
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.
老年人紫外线暴露的头颈部区域的肿瘤包括各种起源的非黑色素瘤皮肤癌。
我们报告了两例发生在长期日晒损伤皮肤上的快速生长的外生性头皮肿瘤，其中一例有出血倾向。肿瘤通过三维切缘控制的广泛手术切除， resulting defect was covered by a meshed split skin graft。组织病理学检查显示两例均为真皮多形性肉瘤。两名患者的分期均无异常。
头皮肉瘤性肿瘤应通过三维切缘控制完全切除。尽管有一些相似之处，但与非典型纤维黄色瘤相比，真皮多形性肉瘤是一种更具侵袭性的变体。
