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Lower Island Trapezius Flap for a Rare Scalp Tumor

  • 0General Surgery, Malavya Hospital, Bengaluru, IND.
Cureus +

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December 4, 2024

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December 4, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

A scalp tumor initially diagnosed as squamous cell carcinoma was reclassified as a proliferating trichilemmal tumor. Surgical management involved a myocutaneous flap reconstruction for the occipital defect.

Area Of Science

  • Dermatology
  • Surgical Oncology
  • Pathology

Background

  • A 54-year-old male presented with a six-month history of an occipital scalp tumor.
  • Initial biopsy suggested squamous cell carcinoma, prompting surgical intervention.

Observation

  • The patient underwent wide local excision and reconstruction using a lower island trapezius myocutaneous flap with skin grafting.
  • Post-operative pathological examination revealed the tumor to be a proliferating trichilemmal tumor, not squamous cell carcinoma.

Findings

  • The final pathology confirmed a proliferating trichilemmal tumor with clear margins, necessitating a revised diagnosis.
  • The surgical technique effectively addressed the posterior scalp defect.

Implications

  • This case highlights the importance of thorough pathological evaluation for accurate diagnosis and treatment planning of scalp neoplasms.
  • The lower island trapezius flap is presented as a viable reconstructive option for complex posterior scalp defects.
  • Understanding proliferating trichilemmal tumors is crucial for appropriate clinical management.

Keywords: