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A 70 years old female first visited our hospital because of the tumor of her scalp in April 1997. She had had a operation of some skin adnexal tumor resected by plastic surgeon in 1990. Afterwards it was silent for years, but 3 years ago, it became ulcerated. On the occipital area, there were 2cm tumor atrophic epidermis with granular appearance. Histological findings revealed solid tumor consisted of basaloid cells. There were scar formation near the tumor islands, suture thread and granulation tissue with giant cells.[Skin Cancer (Japan) 2001; 16: 110-113]

A case of basal cell carcinoma on the scalp presumably arising from the post-operative scar.