PMC2772291_01
A top view of the aggressive squamous cell carcinoma of the scalp
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On examination the lesion occupied the entire central vertex of the scalp [Figure 1].
CT scan showing a large cranial bone defect due to erosion by tumour
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These revealed extensive tumour infiltration of the soft tissue with underlying full thickness bilateral parietal bone erosion [Figure 2].
MRI scan showing tumour infiltration of the left cerebral hemisphere and the falx celebri
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The depth of the infiltration included the dura and the cortex of the left cerebral hemisphere with underlying oedema of the brain [Figure 3].
An intraoperative view following excision including the cranial bone, dura, falx celebri with the thrombosed superior saggital sinus and involved brain tissue
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The soft tissue defect measured 20 x 17 cm [Figure 4].
Bird's eye view at two weeks post reconstruction with a latissimus dorsi musculocutaneous flap
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The patient's postoperative recovery and wound healing was uneventful [Figure 5].