EXCISION OF SCALP TUMOR IN PARIETAL REGION

AND THE CLOSURE OF DEFECT WITH ROTATION FLAP

AT REGIONAL PUBLIC HOSPITAL DR ZAINOEL ABIDIN

BANDA ACEH
Case Report

Rayyan Alfaruqi1, Iskandar2, Imam Hidayat2

1
Surgery Departement, Faculty of Medicine, Syiah Kuala University/ Dr Zainoel Abidin
General Hospital, Banda Aceh, Indonesia
2
Neurosurgery, Surgery Departement, Dr Zainoel Abidin General Hospital, Banda Aceh,
Indonesia

ABSTRACT

Introduction: SCALP tumors are characterized by a very broad and

heterogeneous clinical spectrum. They often exhibit special features based on the
site of the abnormality that differentiate them elsewhere on the skin. Although
mostly benign, the diagnosis and treatment of these lesions can pose significant
challenges due to visual impairment (and delayed detection), anatomical state,
exposure to harmful (exogenous) agents, different histological features, and the
advanced age of the affected individual. This is even more true for malignant
tumors in SCALP, which are rare but associated with a poor prognosis. Therefore,
adequate patient care requires interdisciplinary management.

Cases: A 32-year-old female patient presented with a complaint of a lump on the

right head 10 years ago, initially a small lump like a marble and not easy to move.
Then the longer it gets bigger and is accompanied by pain. Initially, the patient
had surgery to remove the tumor in the last 3 years ago, but the lumps reappeared.
The patient also complained of headaches. Physical examination found a lump in
the right capitis region measuring 10 x 10 cm, firmly demarcated solid
consistency, immobilized, fixed, tender (-), the color of the lump is the same as
the surrounding skin tissue. CT scan shows a soft tissue mass in the vertex region
and an intact impression of the cranium. Then a scalp tumor excision and an
elective biopsy were performed. The mass was removed by means of a blunt
dissection. Defect of tumor were closed by rotation flap method. The specimen is
sent to the anatomical pathology laboratory and awaits the histopathology results.
Conclusion: It has been reported that a 32-year-old woman diagnosed with SCALP
tumor in the left parietal region based on history, physical examination and CT-
scan and has undergone surgical excision of the SCALP tumor craniotomy and the
closure of defect with rotation flap. After surgery, the tissue or sample is checked
again in the pathology anatomy and awaits the results.

Keywords: SCALP tumor, tumor excision, biopsy, craniotomy, rotation flap