Scalp SCC Pit Fall Oncology Surgery and Reconstruction Against Spread to The Lymph Node in The Neck: Case Report
I Nyoman Wawan Tirtayasa1, Ida Bagus Putra Ambara2*, Ida Bagus Made Suryawisesa1, I Wayan Sudarsa1
Abstract
Background: The incidence of scalp tumors is increasing. Squamous cell carcinoma (SCC) of the scalp has a relatively poor prognosis due to its vertical growth limitation, high vascularity, ability to develop large-diameter lesions before invading critical structures, and close relation to the brain. Scalp reconstruction after tumor excision is possibly performed by various methods, such as skin graft. This study aims to report three cases of scalp SCC reconstruction, detailing the size of the defect and the type of flap utilized. Case Presentation: In this case series, patients presented with the same complaint of a lump on the back of the head. The lump felt enlarged, and in one case, felt pain and bleed easily. The biopsy was done, and it showed that the patient had squamous cell carcinoma. All of the patients underwent the surgery with a wide excision with a reconstructed flap was performed. No complaints were reported after the procedure. Discussion: Surgical therapy provides good survival rates in cases of scalp SCC. The first pitfall is failure to evaluate regional lymph nodes, which causes postoperative recurrence. In the pitfall procedure, it is difficult to evaluate the tumor node track through sentinel lymph node biopsy, which can detect the early spread of tumor cells to the lymph nodes even before they are detected clinically. Conclusion: Skin grafting is one method for reconstructing SCC on the scalp. Lymph nodes that are not evaluated during the surgical procedure can increase the risk of recurrence.
Keywords
Lymph node metastasis; scalp; skin graft; squamous cell carcinoma (SCC)
Cite This Article
Tirtayasa, I. N. W., Ambara, I. B. P., Suryawisesa, I. B. M., Sudarsa, I. W. (2024). Scalp SCC Pit Fall Oncology Surgery and Reconstruction Against Spread to The Lymph Node in The Neck: Case Report. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 4: Jul-Aug 2024, Pages 816-823, URL: https://www.ijscia.com/wp-content/uploads/2024/08/Volume5-Issue4-Jul-Aug-No.652-816-823.pdf
Volume 5 | Issue 4: Jul-Aug 2024
