Dika E, Patrizi A, Veronesi G, Manuelpillai N, Lambertini M
Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
J Eur Acad Dermatol Venereol. 2020 Oct;34(10):2208-2215. doi: 10.1111/jdv.16330. Epub 2020 Apr 7.
Around 2% of cutaneous neoplasms arise in the scalp (scalp tumours: STs). They can be classified as primary STs (epithelial, melanocytic and adnexal) or metastatic (from distal tumours or as a spreading from contiguous structures). This anatomic location is usually poorly examined during dermatological consultations, also due to the presence of the hair cover. Moreover, self-examination of the hair-covered skin is often harder for the patient. The peculiar features of the scalp may explain the worse prognosis of STs compared with neoplasms of other locations. The hair coverage protects the scalp from UV radiations, but due to the complex pathogenesis of STs, they may also develop in younger patients. Until now, STs have been not extensively investigated in the dermatological literature, and most publications are written by otolaryngologists, or by head, neck and plastic surgeons. Thus, dermatologists above all have the opportunity and the task to explore the scalp carefully, with the opportunity to make an early diagnosis, possibly changing the patient's prognosis. The aim of this paper was to review the main STs in order to increase awareness among dermatology specialists.
约2%的皮肤肿瘤发生于头皮（头皮肿瘤：STs）。它们可分为原发性STs（上皮性、黑素细胞性和附属器性）或转移性（源自远处肿瘤或由相邻结构蔓延而来）。由于有头发覆盖，在皮肤科会诊期间，这个解剖部位通常检查不充分。此外，患者对有头发覆盖的皮肤进行自我检查往往更困难。头皮的特殊特征可能解释了与其他部位肿瘤相比，STs预后较差的原因。头发覆盖可保护头皮免受紫外线辐射，但由于STs发病机制复杂，它们也可能在较年轻的患者中发生。到目前为止，皮肤科文献中对STs的研究并不广泛，大多数出版物是由耳鼻喉科医生或头颈及整形外科医生撰写的。因此，皮肤科医生尤其有机会和责任仔细检查头皮，以便尽早诊断，可能会改变患者的预后。本文的目的是回顾主要的STs，以提高皮肤科专家的认识。
