Malignant cutaneous tumors of the scalp: A study of demographic characteristics and histologic distributions of 398 Taiwanese patients

Cheng Sheng Chiu, Chyi Yih Lin, Tseng Tong Kuo, Yue Zon Kuan, Min Jing Chen, Hsin Chun Ho, Li Chen Yang, Chien Hsun Chen, I. Hsin Shih, Hong Shang Hong, Ya Hui Chuang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

59 Scopus citations

Abstract

Background: The scalp is a unique anatomic region, in which pilosebaceous follicles are concentrated. Objective: We sought to investigate demographic characteristics and histologic distributions of malignant scalp tumors. Methods: Primary and metastatic scalp malignancies diagnosed histopathologically between 1983 and 2003 were reviewed. Age at diagnosis, sex, and histologic types were analyzed. Results: A total of 398 Taiwanese patients (200 males, 198 females) were selected. Age at diagnosis ranged from 3 to 103 years. Most malignant scalp tumors (69.8%) occurred in those 50 years or older. Basal (41.2%) and squamous (16.6%) cell carcinomas were the most common histologic types. Surprisingly, metastatic tumors (12.8%) came in third, in which lung cancers were the most frequent primary tumor in both male and female patients. Limitations: In our series, the case number of metastatic scalp malignancies was underestimated because not all patients with metastatic scalp tumors received a scalp skin biopsy. Conclusion: Because a wide spectrum of primary and metastatic malignancies can occur on the scalp, scalp inspection should be included in general screening for either skin or internal cancers.

Original languageEnglish
Pages (from-to)448-452
Number of pages5
JournalJournal of the American Academy of Dermatology
Volume56
Issue number3
DOIs
StatePublished - 03 2007

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