Mycosis fungoides: A rare scalp tumor

Abstract

Cutaneous mycosis fungoides is a cutaneous T-cell lymphoma that can mimic a metastatic skull tumor. It responds satisfactorily to chemotherapy, and extensive surgical excision is not usually necessary. We managed a 55-year-old man who presented with a slow-growing scalp tumor which recurred with accelerated recurrence after radical excision. Histology showed cutaneous mycosis fungoides which resolved with chemotherapy. Mycosis fungoides can present as a slow-growing scalp tumor. Detailed clinical evaluation, neuroimaging, and trucut biopsy for histological diagnosis can prevent unnecessary aggressive radical tumor excision and its sequelae.

Keywords

• chemotherapy
• cutaneous t-cell lymphoma
• trucut biopsy