Nonmelanoma Skin Cancer with Skull Infiltration and Cranial Involvement

Uwe Wollina1, Thomas Kittner2, Andreas Nowak3

  • 1Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.

Abstract

Insights

Squamous cell carcinoma of the scalp can invade the skull and brain, posing a serious threat. Delayed diagnosis due to patient neglect is a significant challenge in managing this rare but aggressive skin cancer.

Area of Science:

  • Oncology
  • Neurosurgery
  • Dermatology

Background:

  • Skin cancer rarely invades the skull, dura, or brain parenchyma.
  • Squamous cell carcinoma (SCC) of the scalp is an uncommon but aggressive malignancy.

Observation:

  • This case series reports on three elderly patients with advanced scalp SCC.
  • Patients presented with invasion into the skull bone and cerebral involvement.

Findings:

  • Advanced scalp SCC can infiltrate intracranial structures.
  • Diagnostic and therapeutic challenges are significant in these cases.

Implications:

  • Early detection and prompt treatment are crucial for managing invasive scalp SCC.
  • Patient education and awareness are vital to overcome diagnostic delays.