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Surgical Treatment of Angiosarcoma of the Scalp: Less is More

Buschmann, Alexandra MD*; Lehnhardt, Marcus MD; Toman, Nidal MD*; Preiler, Peter MD‡ß; Salakdeh, M Sedigh MD; Muehlberger, Thomas MD, FRCS*

doi: 10.1097/SAP.0b013e31816b31f8
Head and Neck Surgery

Angiosarcomas (AS) of the scalp are rare tumors with an extremely poor prognosis mostly affecting elderly patients. Given the special anatomic nature of the blood supply to the scalp, it must be presumed that the tumor has already spread at the time of the initial presentation. We report a simple and fast surgical procedure, which places only a minimum burden on the patient. In 19 patients, we performed a resection of the external table with the defect being covered immediately by a split skin graft. The average stay in hospital amounted to 12.2 days. The postoperative period free of recurrences was 2.7 months on average. The average survival period after resection was 17.5 months. In view of the difficult diagnosis, an often delayed therapy and the rapid formation of metastases, a time-saving procedure with a low rate of complications should be given preference over other reconstructive methods.

From the *Department of Plastic Surgery and Hand Surgery, DRK-Kliniken Berlin/Westend, Humboldt Universität Berlin, Berlin; †Department of Plastic Surgery and Hand Surgery, Sarcoma Reference Center, BG-Kliniken Bergmannsheil, Ruhr Universität Bochum, Bochum; and ‡Department of Plastic Surgery and Hand Surgery, St. Barbara-Hospital Duisburg, Duisburg, Germany.

Received September 14, 2007 and accepted for publication, after revision, January 28, 2008.

Reprints: Dr. Thomas Muehlberger, FRCS, Department of Plastic Surgery and Hand Surgery DRK-Kliniken Berlin/Westend, Spandauer Damm 130, 14050 Berlin, Germany. E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.