Sarcomas of the scalp: a case series

Sarcomas of the scalp are a diverse group of rare and aggressive neoplasms of the head and neck originating from bony or soft tissue elements. Clinical manifestations of sarcomas of the scalp vary from small plaque-like lesions to multifocal nodules with involvement of deeper layers, and it is the extent and grade of the tumor that determines the treatment plan. Majority of the cases are managed surgically with three-dimensional wide excision and robust reconstruction. The role of adjuvant radiotherapy and chemotherapy is limited to those cases with poor prognosis. Very few cases of sarcomas involving the scalp have been reported in the literature. We wish to share a series of three rare mesenchymal tumors of the scalp, two of which were locally advanced at the time of presentation. This case series highlights the surgical management, options for reconstruction and outcomes of these tumors