title: Multiple giant scalp metastases of a follicular thyroid carcinoma.
abstract: BACKGROUND
  The occurrence of skin metastases are rare events in the course of a follicular thyroid carcinoma (FTC) and usually indicate advanced tumor stages. The scalp is the most affected area of these metastases.
  
  
  METHODS
  We present a case of a 76 year old Woman with multiple giant scalp metastases of a follicular carcinoma. These metastases had been resected and wounds had been closed with mesh graft. The 14-months follow up is presented.
  
  
  CONCLUSIONS
  We demonstrate another case with multicentric form. Because of its location and size a primary wound closure was not possible. A healing could be reached using vacuum therapy and mesh graft transplantation.
authors.affiliation: Department of General, Visceral and Pediatric Surgery, University Hospital, Heinrich-Heine-University of Düsseldorf, Germany. cupisti@uni-duesseldorf.de
authors.forename: Kenko
authors.initials: K
authors.lastname: Cupisti
authors.forename: Uwe
authors.initials: U
authors.lastname: Ramp
authors.forename: Andreas
authors.initials: A
authors.lastname: Raffel
authors.forename: Markus
authors.initials: M
authors.lastname: Krausch
authors.forename: Alexander
authors.initials: A
authors.lastname: Rehders
authors.forename: Wolfram T
authors.initials: WT
authors.lastname: Knoefel
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000556:secondary / Q000601:surgery*; D000368:Aged; D005260:Female; D006801:Humans; D012535:Scalp; D012878:Skin Neoplasms / Q000556:secondary / Q000601:surgery*; D013526:Surgical Mesh; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000532:radiotherapy