PMC7656049_01
A massive left frontal cauliflower-like squamous cell carcinoma with central necrosis and peripheral erythema.
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F1
Physical examination showed a 12 x 15 x 14 cm left frontal cauliflower-like mass with a necrotic center and peripheral subcutaneous induration with erythema [Figure 1].
(a) Preoperative 3D reconstruction CT scan showing the destruction of the left frontal bone. Coronal (b) and sagittal (c) T1-weighted MRI sequence with contrast agent showing invasion of the dura and the left frontal lobe.
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F2
CT scan showed destruction of the left frontal skull [Figure 2a]. MRI revealed extensive frontal dural induration with a cystic invasion of the left frontal lobe [Figure 2b and c].
(a) Total excision of the tumor and its extension to the bone, dura, and brain. (b and c) Use of local skin graft with free skin transfer to cover the large skin defect. (d) Postoperative result 3 months after surgery.
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F3
The invaded skin, bone, and dura were excised with a safety margin of 1 cm [Figure 3a]. Cutaneous reconstruction was performed using a scalp graft and free thigh flap transfer [Figure 3b and c]. Three months after surgery, the grafts had completely healed [Figure 3d].