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Modifying double (bilateral) opposing rotation advancement flap for а problematic scalp lesion
Georgi Tchernev1, Konstantin Georgiev Tchernev2, Simona Kordeva3
1Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia.
Dermatology Reports
|January 13, 2026
Summary
A 74-year-old man had a pigmented scalp lesion diagnosed as lentigo maligna. Surgical excision under local anesthesia was recommended for this common skin condition.
Area of Science:
- Dermatology
- Oncology
Background:
- A 74-year-old male patient presented with a pigmented lesion on the scalp.
- The lesion was described as tumor-like and problematic.
Purpose of the Study:
- To diagnose and recommend treatment for a scalp lesion.
Main Methods:
- Clinical examination
- Dermatoscopic examination
- Surgical excision recommendation
Main Results:
- Diagnosis of lentigo maligna was established.
- The lesion was located on the vertex of the scalp.
Conclusions:
- Lentigo maligna requires prompt diagnosis and treatment.
- Surgical excision under local anesthesia is a recommended treatment option.
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