PMC9974017_01
Description of the surgical procedure. A: Lesion's removal with macroscopically negative surgical margins of 1 cm; B: Depth of excision up to the periosteum of the skull; C: The surgical specimen; D: Measurement of the size of the required free skin graft from the supraclavicular area; E: Donor site (supraclavicular area); F: Graft's incorporation with continuous interlocking absorbable sutures
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PMC9974017_01_cureus-0015-00000034324-i01.jpg
FIG1
The lesion was removed with macroscopically negative surgical margins of 1 cm (Figure 1 A). The depth of the excision was up to the periosteum of the skull (Figure 1 B). Once the lesion was removed, the surgical specimen was used to measure the size of the required free skin graft (Figure 1 C and D). The loose skin from the right supraclavicular area was recruited to cover the skin defect in the scalp (Figure 1 E). The graft was incorporated with continuous interlocking absorbable sutures (Figure 1 F).
The timeline of the postoperative course and the healing process. A: Third postoperative day; B: One week after the surgery; C: Two weeks after the surgery; D: Three weeks after the surgery; E: Four weeks after the surgery; F: Eight weeks after the surgery
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PMC9974017_01_cureus-0015-00000034324-i02.jpg
FIG2
The timeline of the postoperative course and the healing process is demonstrated in Figure 2.
Histology report. A: Well-differentiated squamous cell carcinoma with full thickness atypical keratinocytes, hematoxylin and eosin staining (H&E), 10x; B: Focal papillary dermis invasion by malignant cells (arrows), H&E staining, 20x
cureus-0015-00000034324-i03.jpg
PMC9974017_01_cureus-0015-00000034324-i03.jpg
FIG3