Atypical Fibroxanthoma of the Scalp Following Hair Transplantation in a 35-Year-Old Male

The case report from 2010 detailed an unusual occurrence of atypical fibroxanthoma (AFX), a rare cancer, on the scalp of a 35-year-old male 8 years after a CO₂ laser-assisted hair transplantation. This was notable for the patient's younger age and the tumor's location, as AFX is more common in older individuals with sun-damaged skin. The report suggested that the AFX may have been caused by a mix of factors such as prior sun exposure, damage from the CO₂ laser, and chronic inflammation. The tumor was surgically removed with clear margins, and no further treatment was given. The patient opted out of reconstructive surgery, covering the area with hair. This case was the first to document skin cancer on a hair-transplanted scalp, highlighting the potential risks associated with sun exposure, laser treatments, and inflammation in the development of AFX, though a coincidental occurrence was also considered.