Congenital infantile fibrosarcoma of scalp. Is adjuvant therapy essential ?

Congenital infantile fibrosarcoma (IFS) is a rare tumour. Involvement of scalp is extremely rare and only a few case reports have been published till now. The exact management of these tumours is controversial. Their counterparts which involve the limbs more commonly can be radically excised, however this option is not possible in scalp. Adjuvant radiotherapy and chemotherapy has been advocated in such cases. Local recurrences and distant metastasis have been reported inspite of such therapy. We report a rare case of scalp IFS which was present since birth and was managed by surgical excision without radio and chemotherapy. Patient is well after 10 years of follow up.