case_images: PMC2772291_01
case_images: A top view of the aggressive squamous cell carcinoma of the scalp
case_images: IJPS-42-106-g001.jpg
case_images: PMC2772291_01_IJPS-42-106-g001.jpg
case_images: F0001
case_images: On examination the lesion occupied the entire central vertex of the scalp [Figure 1].
case_images: CT scan showing a large cranial bone defect due to erosion by tumour
case_images: IJPS-42-106-g002.jpg
case_images: PMC2772291_01_IJPS-42-106-g002.jpg
case_images: F0002
case_images: These revealed extensive tumour infiltration of the soft tissue with underlying full thickness bilateral parietal bone erosion [Figure 2].
case_images: MRI scan showing tumour infiltration of the left cerebral hemisphere and the falx celebri
case_images: IJPS-42-106-g003.jpg
case_images: PMC2772291_01_IJPS-42-106-g003.jpg
case_images: F0003
case_images: The depth of the infiltration included the dura and the cortex of the left cerebral hemisphere with underlying oedema of the brain [Figure 3].
case_images: An intraoperative view following excision including the cranial bone, dura, falx celebri with the thrombosed superior saggital sinus and involved brain tissue
case_images: IJPS-42-106-g004.jpg
case_images: PMC2772291_01_IJPS-42-106-g004.jpg
case_images: F0004
case_images: The soft tissue defect measured 20 x 17 cm [Figure 4].
case_images: Bird's eye view at two weeks post reconstruction with a latissimus dorsi musculocutaneous flap
case_images: IJPS-42-106-g005.jpg
case_images: PMC2772291_01_IJPS-42-106-g005.jpg
case_images: F0005
case_images: The patient's postoperative recovery and wound healing was uneventful [Figure 5].