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Fibrosarcoma of the scalp. Case report
Journal of Neurosurgery
|December 1, 1978
Summary
A large pediatric scalp fibrosarcoma in a Nigerian boy recurred aggressively after initial surgeries and radiotherapy. Despite complete excision and multimodal treatment, distant metastases developed, highlighting the challenges in managing this rare pediatric tumor.
Area of Science:
- Oncology
- Pediatric Surgery
- Pathology
Background:
- A rare case of a large pediatric scalp fibrosarcoma is presented.
- The tumor originated in a Nigerian boy during his first month of life.
Observation:
- The parieto-occipital scalp tumor exhibited rapid growth, especially after two partial excisions.
- At 17 years old, the tumor measured 21 x 17 x 16 cm with no underlying skull defect.
Findings:
- Complete tumor excision was achieved.
- Histological examination confirmed the tumor as fibrosarcoma.
- Post-operative radiotherapy was administered.
Implications:
- The patient experienced local recurrence and distant metastases 5.5 months post-treatment.
- Minimal response was observed with further radiotherapy and chemotherapy.
- This case underscores the aggressive nature and treatment challenges of pediatric scalp fibrosarcoma.

