Squamous cell carcinoma associated with a history of synthetic hair implantation: Two case reports
Gregory Nicolas,
Rafael Mamoru Carneiro Tutihashi,
Nancy Emmanuel,
Jana Dib El Jalbout,
Rafael Eiki Takemura,
Luiz Carlos Ishida,
Fabio de Freitas Busnardo,
Rolf Gemperli
Affiliations
Gregory Nicolas
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil; Corresponding author at: Rua Dr. Ovídio Pires de Campos, 171, São Paulo, Brazil.
Rafael Mamoru Carneiro Tutihashi
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Nancy Emmanuel
Department of Dermatology, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Jana Dib El Jalbout
Lebanese American University Medical Center – Rizk Hospital, Beirut, Lebanon
Rafael Eiki Takemura
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Luiz Carlos Ishida
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Fabio de Freitas Busnardo
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Rolf Gemperli
Department of Plastic and Reconstructive Surgery, Hospital das Clínicas of the University of São Paulo, São Paulo, Brazil
Artificial hair implantation is a popular yet controversial procedure owing to its inconclusive safety profile, with many complications such as infections, scarring, foreign body rejection, and loss of natural hair, leading to the ongoing ban on this technique in some countries. To date, three cases of squamous cell carcinoma after prosthetic fiber implantation have been reported in the literature. While insufficient data exists to establish an existing causal relationship, the significance of such a health consequence warrants further investigation and caution before applying this technique to patients. Here, we report two new cases of squamous cell carcinoma of the scalp related to synthetic hair implantation and provide a brief review of the topic.