Surgeons

Cutaneous squamous-Cell Carcinomas (SCC) are one of the main types of skin cancers, after basal cell carcinoma. Theoverall  cure rate for both types of skin cancer is related to the stage of the disease and the type of treatment employed.

This case involves a locally advanced cutaneous squamous cell carcinoma of the scalp with a deep invasion of the skull. A computed tomography showed full thickness scalp defect and occipital bone destruction. Gadolinium-enhanced MRI revealed no neoplastic invasion of the dura and both cerebral hemispheres. We performed a resection of the scalp craniectomy and dural resection followed by a reconstruction of the skin defect using a rotational flap closure, following the Orticochea’ method. The patient tolerated the procedure, recovered with minimal morbidity and good cosmetic result and addressed for radiotherapy.