Abstract
A series of 65 pediatric patients with scalp or calvarial masses is reported on. The majority of children presented with a disfiguring or painful mass on the head. Clinical findings suggested the correct diagnosis in 39/65 cases, skull radiographs in 46/65, and CT in 49/65. Taking the combined results of clinical and radiological studies, 54/65 of the lesions were accurately diagnosed. Tumor excision was curative in 43 of 48 patients who were operated on. Most scalp and calvarial neoplasms were benign; only 5/65 children harboured a malignant lesion. There was no mortality related to surgery in the series. Surgical intervention seems to be indicated in most cases, both for diagnosis and for treatment.
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Arita N, Ushio Y, Hayakawa T, Mogami M (1980) Primary fibrosarcoma of the skull. Surg Neurol 14:381–384
Benson JE, Goske M, Han JS, Brodkey JS, Yoon YS (1984) Primary osteogenic sarcoma of the calvaria. AJNR 5:810–813
Choux M, Gomez A, Choux R, Vigoroux RP (1975) Diagnostic and therapeutic problems concerning tumors of the vault. Child's Brain 1:207–216
Diebler C, Dulac O (1983) Cephaloceles: clinical and neuroradiological appearance. Associated cerebral malformations. Neuroradiology 25:199–216
Drapkin AJ (1990) Rudimentary cephalocele or neural crest remnant. Neurosurgery 26:667–673
Gerlach J (1974) Tumors of the cranial vault. In: Vinken PJ, Bruyn GW (eds.) Handbook of clinical neurology, vol 17. North-Holland, Amsterdam, pp 104–135
Gilmor RL, Mealey J Jr (1972) Melanotic neuroectodermal tumor involving the cranium in infancy. Case report. J Neurosurg 36:507–511
Horning GW, Beatty RM (1990) Osteolytic skull lesions secondary to trauma. Report of two cases. J. Neurosurg 72:506–508
Inoue Y, Hakuba A, Fujitawi K, Fukuda T, Nemoto Y, Umekawa T, Kobayashi Y, Kitamo H, Onoyama Y (1983) Occult cranium bifidum. Radiological and surgical findings. Neuroradiology 25:217–223
Jelsma F, Ross PJ (1963) Tumor-like lesions of the calvaria (due to general disease processes). Am Surg 29:247–255
Lee CM Jr, Mc Laurin RL (1955) Heterotopic brain tissue as an isolated embryonic rest. J Neurosurg 12:190–195
Luccarelli G, Fornari M, Savoiardo M (1980) Angiography and computerized tomography in the diagnosis of aneurysmal bone cyst of the skull. Case report. J Neurosurg 53:113–116
Mitnick JS, Pinto RS (1980) Computed tomography in the diagnosis of eosinophilic granuloma. J Comput Assist Tomogr 4:791–793
Mollejo M, Millan JM, Ballestin C, Serrano C (1990) Cranial fascitis of childhood with reactive periostilis. Surg Neurol 33:146–149
Ohta T, Waga S, Handa H, Nishimura S, Mitani T (1975) Sinus pericranii. J Neurosurg 42:704–712
Orkin M, Fischer I (1966) Heterotopic brain tissue (heterotopic neural rests). Case report with a review of related anomalies. Arch Dermatol 94:699–708
Pannell BW, Hendrick EB, Hoffman HJ, Humphreys RP (1982) Dermoid cysts of the anterior fontanelle. Neurosurgery 10:317–323
Rawlings CE, Wilkins RH (1984) Solitary eosinophilic granuloma of the skull Neurosurgery 15:155–161
Ruge JR, Tomita T, Naidich TP, Hahn YS, McLone DG (1988) Scalp and calvarial masses of infants and children. Neurosurgery 22:1037–1042
Thaller SR, Bauer BS (1987) Cysts and cyst-like lesions of the skin and subcutaneous tissue. In: Spira M, Stal S (eds) Benign tumors and conditions of the skin and subcutaneous tissue. Clin Plast Surg 14:327–340
Tytus JS, Pennybacker J (1956) Pearly tumors in relation to the central nervous system. J Neurol Neurosurg Psychiatry 19: 241–259
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Martínez-Lage, J.F., Capel, A., Costa, T.R. et al. The child with a mass on its head: diagnostic and surgical strategies. Child's Nerv Syst 8, 247–252 (1992). https://doi.org/10.1007/BF00300790
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DOI: https://doi.org/10.1007/BF00300790