Intracranial invasion of scalp carcinoma

Summary Among 10 patients with squamous cell carcinoma admitted to our hospital, 5 showed intracranial invasion and 4 died with regrowth of intracranial tumour 9 to 24 months after incomplete extirpation of tumour. We reviewed our experience in the management of advaned scalp carcinoma, from neurosurgical and neuroradiological points of view. Durai invasion failed to be removed completely because of involvement of the middle part of the superior sagittal sinus. Therefore, total resection, facilitated by early detection prior to intracranial invasion, is mandatory for successful treatment of these scalp carcinomas.