Squamous cell carcinoma arising from an arteriovenous malformation of the scalp

Brian P. Thornton, David Sloan, Brian Rinker

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

We present the case of a 70-year-old man with a congenital scalp lesion consistent with an arteriovenous malformation (AVM) which over the last 3 years had developed ulcerative changes and bleeding in the central aspect that was a biopsy proven squamous cell carcinoma (SCCA). To control hemorrhage during surgery, a radiologist performed selective embolization of major feeding arteries in the lesion three days before the surgery. After total resection of the lesion, a scalp reconstruction was performed by using a free latissimus muscle flap and skin graft. As a result, bleeding was well controlled, the AVM and SCCA were totally resected, and satisfactory aesthetic results were obtained. This appears to be the first description of a SCCA arising from a chronic AVM. This is suggestive of a possible Marjolin's ulcer from a chronic wound bed.

Original languageEnglish
Pages (from-to)805-809
Number of pages5
JournalJournal of Craniofacial Surgery
Volume17
Issue number4
DOIs
StatePublished - Jul 2006

Keywords

  • Arteriovenous vascular malformation (AVM)
  • Free tissue transfer
  • Marjolin's ulcer
  • Squamous cell carcinoma

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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