title: [Adenoid cystic carcinoma of the scalp].
abstract: BACKGROUND
  Few cases of adenoid cystic carcinoma of the scalp have been described in the literature. Herein, we report a new case illustrating the difficulties of diagnosis and treatment of this rare form of tumour.
  
  
  METHODS
  A 49-year-old man consulted for a large ulcerated scalp tumour. The biopsy sample exhibited an aspect of cystic adenoid carcinoma. Bone invasion had occurred. Extremely wide surgical excision was carried out, extending down to the dura mater, with covering by means of a frontal flap with left temporal pedicle. Since the edges of the resection were also tumoural, postoperative radiotherapy at 56Gy was given. Twelve months later, the patient was still in remission.
  
  
  CONCLUSIONS
  The standard treatment for adenoid cystic carcinoma is complete surgical excision but this approach may be complicated by difficulties relating to the degree of tumour spread or to the anatomical site. Postoperative radiotherapy appears to improve local control, as illustrated by our case.
authors.affiliation: Unité de chirurgie plastique, réparatrice et brûlés, CHU Mohammed VI, Marrakech, Morocco. hatimdrou@hotmail.com
authors.forename: H
authors.initials: H
authors.lastname: Droussi
authors.forename: S
authors.initials: S
authors.lastname: Ettalbi
authors.forename: S
authors.initials: S
authors.lastname: Ouahbi
authors.forename: M
authors.initials: M
authors.lastname: Soussou
authors.forename: S
authors.initials: S
authors.lastname: Boukind
mesh_terms: D003528:Carcinoma, Adenoid Cystic / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D004388:Dura Mater / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010014:Osteolysis / Q000209:etiology / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012535:Scalp / Q000473:pathology* / Q000601:surgery; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D012883:Skin Ulcer / Q000209:etiology; D012886:Skull / Q000473:pathology / Q000601:surgery