case_images: PMC10184606_01
case_images: Pre-operative view of the lesion.
case_images: ICRP_A_2210670_F0001_C.jpg
case_images: PMC10184606_01_ICRP_A_2210670_F0001_C.jpg
case_images: F0001
case_images: A 71-year-old patient was referred to our unit for an aggressive squamous cell carcinoma of the scalp in the parieto-mastoid area (Figure 1).
case_images: Intraoperative view after the neurosurgical removal of the lesion.
case_images: ICRP_A_2210670_F0002_C.jpg
case_images: PMC10184606_01_ICRP_A_2210670_F0002_C.jpg
case_images: F0002
case_images: The dural plane was intact, and a minute neoplastic spot infiltrating the transverse sinus was evident and left in situ (Figure 2).
case_images: Latissimus dorsi muscular free flap anastomosis.
case_images: ICRP_A_2210670_F0003_C.jpg
case_images: PMC10184606_01_ICRP_A_2210670_F0003_C.jpg
case_images: F0003
case_images: Anastomoses were performed between the subscapular artery and the superior thyroid artery and between the subscapular vein and the external jugular vein (Figure 3).
case_images: One year after the surgery, clinical progression of the disease was evident.
case_images: ICRP_A_2210670_F0004_C.jpg
case_images: PMC10184606_01_ICRP_A_2210670_F0004_C.jpg
case_images: F0004
case_images: One year after the surgery, following the clinical progression of the disease (Figure 4), radiation therapy was exclusively indicated with concomitant cemiplimab therapy.
case_images: Two-year follow up. No residual evidence of disease nor recurrence is reported.
case_images: ICRP_A_2210670_F0005_C.jpg
case_images: PMC10184606_01_ICRP_A_2210670_F0005_C.jpg
case_images: F0005
case_images: At a two-year follow up the patient is still free from disease (Figure 5).