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Dermal Pleomorphic Sarcoma of the Scalp - Report of Two Cases
Uwe Wollina1, Jacqueline Schönlebe2, Violetta Bujok1
1Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
Background:
Neoplasias of the UV-exposed head-and-neck area of the elderly include non-melanoma skin cancers of various origin.
Case Report:
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.
Conclusions:
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.
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