Introduction: A variety of inflammatory and neoplastic scalp lesions is encountered in clinical practice, which can be attributed to trauma, infection, abscess, allergic reaction, or tumor. Though a majority of scalp involvement is by benign processes, still it can be a site of malignant neoplasm.
Aims and objectives
1.To study the morphological, histopathological types and clinico-pathological correlation of various scalp tumors.
2.To know the proportion of benign and malignant lesions in the scalp lesions.
3.To compare the data and other investigations with similar studies from other regions.
Materials and methods: The present retrospective study is conducted in the department of pathology, B.J. Medical college and civil hospital, Ahmedabad over a duration of 5 years. A total of 105 cases of scalp lesions were evaluated. Scalp biopsies with clinical suspicion of a tumor which presented with a swelling, with or without pain or with non-healing ulcer were included in the study. The spectrum of lesions that appeared in the scalp were tabulated.
Results: In our study, total 105 cases were observed during period of five years. Out of the total of 105 cases majority of them were benign accounting for 92.38% of all cases and malignant cases accounting for 7.62% of all cases. The sex distribution of scalp lesions in the present study was slightly greater in male accounting for 60% cases. Out of 105 cases majority are non-tumorous keratinous cysts accounting for 53.3% of all cases with trichilemmal cyst being most common.
Conclusion: Benign tumors and tumor like lesions are more common than malignant tumors. Although mostly benign diagnosis and treatment of these lesions pose significant challenge due to distinct histopathological features. A high index of clinical suspicion is essential to ensure early detection of malignancies and initiate treatment.