AI Article Synopsis
- Giant basal cell carcinoma (GBCC) is a large tumor (≥5 cm) typically found on the scalp, often requiring extensive surgical removal and reconstruction of surrounding areas.
- This study analyzed 5 patients who had single-stage scalp, calvarium, and dural reconstruction after GBCC, focusing on reconstruction methods and the associated risks such as cerebrospinal fluid (CSF) leakage and tumor recurrence.
- Results indicated that titanium mesh was used for 3 patients and methyl methacrylate for 2; complications like CSF leakage were observed with the titanium mesh group, and tumor recurrence occurred in one patient using methyl methacrylate.
Article Abstract
Giant basal cell carcinoma (GBCC) is defined as a tumor ≥5 cm in diameter. GBCC of scalp usually requires extended resection of soft tissues, calvarium, and dura. In this study, we present 5 patients with GBCC of head, who underwent a single-stage combined scalp, calvarium, and dural reconstruction. Herein, we aim to discuss reconstruction methods, cerebrospinal fluid (CSF) leakage, duration of hospital stay, and tumor recurrency. Peroperative and postoperative follow-ups, defect areas, and performed calvarium reconstruction methods of 5 patients, who underwent complex scalp and calvarium reconstruction after GBCC between year 2010 and 2017, were retrospectively maintained. We studied reconstruction methods, CSF leakage, duration of hospital stay, and tumor recurrency. All patients undergone single-stage reconstruction. Avarge duration of hospital stay was 15 days. Titanium mesh was used in 3 patients and methyl methacrylate was used in 2 patients for calvarium reconstruction. CSF leakage was seen in patients who underwent calvarium reconstruction with titanium mesh. Tumor recurrence occured next to calvarium in 1 patient who undergone calvarium reconstruction with methyl methacrylate. CSF leakage and duration of hospital stay may induce morbidity of this oncoplastic procedure. The fact of longer hospital stay of patients reconstructed with titanium mesh might be a new data presented in this study. These parameters can be related with the method of calvarium reconstruction.
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| http://dx.doi.org/10.1097/SCS.0000000000004477 | DOI Listing |
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