Incongruent Radiographic Indication of Calvarial Metastatic Diploic Space Invasion

Absent histologic findings in a patient with basal cell carcinoma of the scalp.

Basal Cell Carcinoma (BCC) is a common type of skin cancer. In this article, we discuss a unique case of scalp basal cell carcinoma that had mismatching radiographic and histological findings. On radiographic imaging, the cancer appeared to be invading the calvarium, also known as the skull. However, on postoperative examination, the skull was determined to be cancer-free. This interesting case reminds surgeons to be wary of invasive cases of scalp BCC and the importance of conservative measures to prevent unnecessary procedures. 

Xing, M. H., Ansari, E., Levy, J.C., Samankan, S., Khorsandi, A., & Urken, M. L.

Head and Neck, 2020

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