Nuttall Elle, Hudnall Ryan M, Richa Tony
Otolaryngology - Head and Neck Surgery, Creighton University School of Medicine, Omaha, USA.
Otolaryngology - Head and Neck Surgery, University of Nebraska Medical Center, Omaha, USA.
Cureus. 2023 Feb 13;15(2):e34938. doi: 10.7759/cureus.34938. eCollection 2023 Feb.
Cutaneous squamous cell carcinoma (cSCC) is a common malignancy in the head and neck region. Although rarely metastatic, it has the potential to become locally aggressive and invade surrounding structures. The involvement of the scalp with cSCC presents a unique surgical challenge given its proximity to vital structures. We present a case of locally advanced cutaneous scalp squamous cell carcinoma with involvement of the skull and dural involvement not previously demonstrated on imaging. This case required complex multidisciplinary surgical management from both neurosurgery and head and neck surgery for treatment, preservation of essential tissues, and cosmesis.
皮肤鳞状细胞癌（cSCC）是头颈部常见的恶性肿瘤。尽管很少发生转移，但它有可能在局部侵袭性生长并侵犯周围结构。由于头皮靠近重要结构，头皮发生cSCC带来了独特的手术挑战。我们报告一例局部晚期头皮皮肤鳞状细胞癌病例，该病例累及颅骨且硬膜受累，影像学检查此前未显示。该病例需要神经外科和头颈外科进行复杂的多学科手术管理，以进行治疗、保留重要组织并实现美容效果。
