Abstract
Scalp soft tissue sarcomas (STS) are very rare accounting for less than 0.1% of all malignancies. We report a rare clinical image of advanced stage soft tissue sarcoma of the scalp. A 65 year woman had presented to the surgical department with complaints of a rapidly growing swelling over the scalp for three months. On examination there was huge 20 x 20 cm swelling over the scalp in the left temporoparietal region with variegated consistency. Computed tomography of head revealed a large soft tissue mass with necrosis invading the bone and underlying brain parenchyma. Histopathological finding from core needle biopsy revealed pleomorphic sarcoma. STS are highly malignant tumors which should be diagnosed and treated using multimodality approach. Recurrences are common even after complete resection and prognosis is poor.
Highlights
Scalp soft tissue sarcomas (STS) are very rare accounting for less than 0.1% of all malignancies
Histopathological finding from core needle biopsy performed under image guidance showed spindle cells with moderate pleomorphism and hyperchromatic nuclei with eosinophilic cytoplasm
The case was discussed in tumor board and was advised palliative chemotherapy and radiotherapy considering the locally advanced unresectable disease and performance status of the patient
Summary
Scalp soft tissue sarcomas (STS) are very rare accounting for less than 0.1% of all malignancies. Soft tissue tumor, Intracerebral invasion, Pleomorphic sarcoma, Giant scalp tumor A 65 year old woman had presented to the surgical department with complaints of a rapidly growing swelling over the scalp for three months.
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