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Deep Cerebral Invasion by Basal Cell Carcinoma of the Scalp

Overview
Journal Neuroradiology
Specialties Neurology
Radiology
Date 1996 Aug 1
PMID 8880723
Citations 2
Authors
P M Parizel
L Dirix
D Van den Weyngaert
J R Lambert
P Scalliet
A T Van Oosterom
A M De Schepper
Affiliations
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Abstract

We report recurrent basal cell carcinoma of the scalp with deep cerebral invasion in an 82-year-old man. Plain films and CT showed extensive, full thickness, skull destruction at the vertex. Gadolinium-enhanced MRI revealed neoplastic invasion of the meninges and left cerebral hemisphere, down to the lateral ventricle. We postulate that tumour extended into the brain along perivascular spaces of transcerebral vessels. This hypothesis is supported by the cleft-like contrast enhancement on MRI.

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