Dermal Pleomorphic Sarcoma of the Scalp – Report of Two Cases

  • Uwe Wollina Academic Teaching Hospital DresdenDepartment of Dermatology and Allergology
  • Jacqueline Schönlebe Institute of Pathology “Georg Schmorl”, Städtisches Klinikum Dresden, Academic Teaching Hospital
  • Violetta Bujok Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital
  • Torello Lotti Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy
  • Georgi Tchernev Onkoderma Policlinic for Dermatology and Dermatologic Surgery, Sofia, Bulgaria
  • Ivanka Temelkova Onkoderma, Policlinic for Dermatology and Dermatologic Surgery, General Skobelev 26, Sofia, Bulgaria
  • Aleksandra Vojvodic Military Medical Academy of Belgrade, Serbia, and University of Rome Guglielmo Marconi Rome, Italy
Keywords: Head-and-neck tumors, Sarcoma, Dermal pleomorphic sarcoma, Surgery, Differential diagnosis

Abstract

BACKGROUND: Neoplasias of the UV-exposed head-and-neck area of the elderly include non-melanoma skin cancers of various origin.

CASE REPORT: We report two cases of rapid growing exophytic scalp tumors on chronic sun-damaged skin, in one case with a tendency of bleeding. The tumours were removed by wide surgical excision with 3D margin control, and the resulting defect was covered by a meshed split skin graft. Histopathologic examination disclosed a dermal pleomorphic sarcoma in both cases. The staging was unremarkable in both patients.

CONCLUSIONS: Sarcomatous tumours of the scalp should be completely excised with a 3D margin control. Dermal pleomorphic sarcoma is a more aggressive variant compared to atypical fibroxanthoma despite some similarities.

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Author Biographies

Uwe Wollina, Academic Teaching Hospital DresdenDepartment of Dermatology and Allergology

Head of Department of Dermatology and Allergology

Jacqueline Schönlebe, Institute of Pathology “Georg Schmorl”, Städtisches Klinikum Dresden, Academic Teaching Hospital

Senior Advisor

Institute of Pathology “Georg Schmorlâ€, Städtisches Klinikum Dresden, Academic Teaching Hospital

Violetta Bujok, Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital

Assistant

Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital

Torello Lotti, Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy

Professor of Dermatology

Department of Dermatology, University of Rome “G. Marconiâ€, Rome, Italy

Aleksandra Vojvodic, Military Medical Academy of Belgrade, Serbia, and University of Rome Guglielmo Marconi Rome, Italy

Professor of Dermatology

Military Medical Academy of Belgrade, Serbia, and University of Rome Guglielmo Marconi Rome, Italy

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Published
2019-05-30
How to Cite
1.
Wollina U, Schönlebe J, Bujok V, Lotti T, Tchernev G, Temelkova I, Vojvodic A. Dermal Pleomorphic Sarcoma of the Scalp – Report of Two Cases. Open Access Maced J Med Sci [Internet]. 2019May30 [cited 2020Oct.23];7(18):2982-4. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2019.274

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