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J Neurol Surg A Cent Eur Neurosurg 2016; 77(04): 308-311
DOI: 10.1055/s-0035-1567859
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Oncologic Outcomes of Invasive Squamous Cell Carcinoma of the Scalp Requiring Resection of Cranial Bone

Andrea Ziegler
1   Department of Otolaryngology, Loyola University Stritch School of Medicine, Maywood, Illinois, United States
,
Ronald Walker
2   Department of Otolaryngology, Saint Louis University School of Medicine, Saint Louis, Missouri, United States
,
Mark Varvares
3   Department of Otolaryngology, The Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, United States
› Author Affiliations
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Publication History

18 February 2015

14 September 2015

Publication Date:
25 January 2016 (online)

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Abstract

Objectives To identify the recurrence rates and survival outcomes of patients with invasive squamous cell carcinoma of the scalp.

Methods This study was a retrospective chart review of eight patients that had squamous cell carcinoma of the scalp with either periosteal or skull invasion on clinical and/or radiographic evaluation.

Results The disease-free survival was 62.5% (5/8 patients) with a local control rate of 75% (6/8 patients) for the entire group. The two patients with full-thickness craniectomy had a local control rate of 100% (2/2 patients); the patients with outer cortex removal had a local control rate of 66.7% (4/6 patients). The disease-free survival of the full-thickness group was 50% (1/2 patients ), and the disease-free survival of the outer cortex removal patients was 66.7% (4/6 patients).

Conclusion Despite the invasive nature of this disease, a high degree of local control can be achieved in this high-risk group with multiple comorbidities using outer cortex drilldown, and, in properly selected patients, full-thickness calvarial resection. We conclude that for patients without evidence of medullary involvement that outer table drilldown offers a well-tolerated approach with reasonable oncologic control.

Keywords

squamous cell carcinoma - scalp cancer - head and neck cancer - survival outcomes - periosteal invasion
 

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