Longtime undetected XXXX of the scalp: considerations and implications.

@entity5 @entity1489 @entity189 @entity3
BACKGROUND: @entity189 ( @entity189 ) are slow-growing and often asymptomatic @entity1489 that usually develop on the facial skin and may reach considerable size. We present an uncommon case of MAC arising on the hair-bearing scalp and discuss our experiences and considerations. CASE REPORT: A 58-year-old female was admitted with a histopathologically secured diagnosis of MAC of the temporal and occipital regions that had expanded to 10  *  12  cm. Magnetic resonance imaging revealed an infiltration of the skin and the subcutaneous adipose tissue. No lymphatic or haematogenic @entity3 were detected. Therapy consisted of resecting the @entity5 and reconstructing the area by applying an anterolateral thigh (ALT) flap. Histopathological evaluation revealed clear, 1-cm margins and a @entity5 . One-year postoperative follow-ups showed no evidence of recurrence, while the outcome was aesthetically pleasing. CONCLUSION: When screening for @entity1489 , careful attention must be paid to the scalp. Resection of MAC with clear margins is mandatory to minimize the risk of recurrence. In this case, applying an ALT perforator flap to a large defect of the hair-bearing scalp led to a very satisfying result; it should be considered in comparable cases.
