Which department should you visit for a scalp tumor?

Scalp tumors can be evaluated and treated in departments such as dermatology, neurosurgery, plastic surgery, oncology, and pathology. The choice of department depends on the suspected nature of the tumor, its size, and whether it has invaded deeper tissues. Immediate medical attention is required if the tumor grows rapidly, ulcerates with bleeding, or is accompanied by pain or numbness.

1. **Dermatology**: Specializes in diagnosing and treating superficial scalp tumors such as pigmented nevi, seborrheic keratosis, and basal cell carcinoma. Initial assessment is performed through visual inspection and dermoscopy. Treatments include laser therapy, cryotherapy, or local surgical excision, suitable for small tumors that have not invaded the skull bone.

2. **Neurosurgery**: Manages tumors that invade deep layers of the scalp, involve the skull bone, or extend into the intracranial space, such as skull osteomas or malignant tumors with intracranial invasion. CT and MRI scans are used to evaluate the extent of the lesion, and procedures such as craniotomy or skull reconstruction may be performed to ensure the safety of intracranial structures.

3. **Plastic Surgery**: Focuses on aesthetic restoration during scalp tumor removal. This specialty is ideal when tumor excision may leave significant scarring. Techniques such as flap transplantation and skin grafting are used to restore scalp integrity, balancing effective treatment with cosmetic outcomes.

4. **Oncology**: For confirmed malignant scalp tumors such as squamous cell carcinoma or metastatic tumors, this department develops comprehensive treatment plans including chemotherapy, radiotherapy, and targeted therapies. It also monitors tumor recurrence and metastasis, working with surgical departments to optimize treatment strategies.

5. **Pathology**: Although not directly involved in treatment, pathology plays a critical role by analyzing tumor biopsy specimens to determine the exact histological type, differentiate between benign and malignant tumors, and assess the degree of tumor differentiation. This information provides essential guidance for clinical departments in formulating accurate treatment plans.

For daily care, maintain a clean and dry scalp, avoid frequent touching or squeezing of the tumor to prevent ulceration and infection. Wear loose, soft hats to minimize friction, monitor changes in the tumor regularly, and seek medical advice promptly if any abnormalities occur.