Histopathological Analysis of Scalp Lesions: Five Years Retrospective Study of Western India
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: A variety of inflammatory and neoplastic scalp lesions are encountered in clinical practice, which can be attributed to trauma, infection, inflammation, abscess, allergic reaction, or tumor. Inflammation can occur from a medication reaction, trauma or an autoimmune disease. Benign lesions are in majority but malignant lesions are not uncommon. The present study was undertaken to study the prevalence of various scalp lesions and to correlate the histopathological finding with clinical features, and other investigations wherever possible. Materials and methods: The present retrospective study reviewed 77 cases of scalp lesions from the record of one of the largest tertiary care hospital of western India over a duration of five years. Medical reports of patients diagnosed with clinical diagnosis of scalp lesions were studied. H&E stained slides of the scalp lesions were retrieved and reviewed. Clinical and histopathological diagnosis were studied for each case to evaluate clinically misdiagnosed cases. Data so obtained was tabulated and was analysed using SPSS version 17 software. and was expressed as percentage and number as required. Results: Total 77 cases were studied out of which majority were benign mainly 54.5% keratinous cyst and only 2.6% were malignant Squamous Cell Carcinoma. No opinion was possible in two cases out of total 77 cases; one case because of scanty tissue and other due to suboptimal preservation of tissue. Out of total 77 cases 7 (5.39%) cases were clinically misdiagnosed Conclusion: A high index of clinical suspicion is essential to ensure early detection of malignancies and initiate treatment. Though rare, proliferative forms of trichelemmal cyst have been reported which mimic squamous cell carcinoma.
Authors and Affiliations
Annapurna V. Mane, Lalita Y. Patil, Sandip B. Jadhav
Keywords
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