Skull Tumors and Scalp Lesions
Lesions of the scalp and skull in the pediatric population include a wide variety of pathologies including congenital, posttraumatic, vascular, inflammatory, and neoplastic etiologies. While most of the lesions are benign, care should be taken with their work-up to identify those lesions which may be malignant. Surgical indications for these lesions include gross total resection when there is concern for malignancy. Neurosurgical intervention is also indicated for correction of a potential cosmetic deformity as well as biopsy for identification of unknown lesions. When resecting skull lesions, consideration should be given to the possible need for reconstruction of the defect. The most common skull and scalp lesions encountered in a pediatric neurosurgery practice are epidermoid/dermoid cysts and Langerhans cell histiocytosis.
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