PMC4793792_01
Status before the surgical treatment, showing a scalp virtually completely covered by tumor tissue.
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F1
Surgery in Umea University Hospital in 2013. She had suffered from multiple tumors, foremostly present in the scalp and face, for the predominant part of her adult life (Figure 1).
PMC4793792_02
The cranium after subgaleal excision.
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F2
In the first session, the skin of the scalp was carefully removed by dissecting to the subgaleal plane and following the avascular compartment (Figure 2).
PMC4793792_03
Status 2.5 weeks after the first excision and split skin grafting, showing excellent healing and coverage.
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F3
The graft take after both operations was excellent, with almost 100% coverage after 2.5 weeks (Figure 3).
Picture showing the final result, 4 months after the initial procedure.
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F4
At a later follow-up 4 months after the first procedure, the aesthetic result of the operation was deemed excellent (Figure 4).