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Zhao A, Kedarisetty S, Arriola AGP, Isaacson G. Pilomatrixoma and its Imitators. Ear Nose Throat J 2024; 103:183-189. [PMID: 34549614 DOI: 10.1177/01455613211044778] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction: Pilomatrixomas are benign neoplasms derived from hair follicle matrix cells. They are among the most common soft tissue head and neck tumors of childhood. Pilomatrixomas are typically isolated, slow-growing, firm, nontender masses that are adherent to the epidermis but mobile in the subcutaneous plane. This clinical presentation is so characteristic that many experienced surgeons will excise suspected pilomatrixomas without prior imaging. We reviewed the results of this approach to determine whether physical examination alone differentiates pilomatrixomas from other similar soft tissue lesions of the pediatric head and neck. Methods: Computerized review of all pilomatrixomas over a 20-year period in a single academic pediatric otolaryngology practice. Results: 18 patients presented to our pediatric otolaryngology practice between 2001 and 2021 with historical and physical findings consistent with pilomatrixoma. Of the 18 patients, 7 were male and 11 were female. Ages ranged from 1.5 to 14 years, with a mean of 7.5 years. Most of the lesions (12) were located in the head and face, while the rest (6) were found in the neck. All patients were treated with complete surgical excision. Pathology confirmed pilomatrixoma in 15 patients. The remaining 3 children were found to have an epidermal inclusion cyst, a ruptured trichilemmal cyst, and a giant molluscum contagiosum lesion, respectively. One additional patient presented with a small lesion of the auricular helix that was thought to be a dermoid cyst, but proved to be a pilomatrixoma on histologic examination. Discussion: As pilomatrixomas are common and have a very characteristic presentation, surgical excision without prior diagnostic imaging will lead to correct treatment in the majority of cases. High resolution ultrasonography can help to confirm the diagnosis preoperatively, but is not definitive in large case series. Most of the cystic lesions that imitate pilomatrixoma will ultimately require surgical excision.
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Affiliation(s)
- Adelaide Zhao
- Departments of Otolaryngology--Head & Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Suraj Kedarisetty
- Departments of Otolaryngology--Head & Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Aileen Grace P Arriola
- Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
| | - Glenn Isaacson
- Departments of Otolaryngology--Head & Neck Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
- Department of Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, PA, USA
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2
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Kobayashi A, Terui H, Takahashi T, Mizuashi M, Asano Y. A case of lymphangiectatic variant of giant pilomatricoma with bullous appearance: evaluation through magnetic resonance imaging. J Dermatol 2024; 51:e79-e80. [PMID: 37804059 DOI: 10.1111/1346-8138.16999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2023] [Revised: 09/10/2023] [Accepted: 09/27/2023] [Indexed: 10/08/2023]
Affiliation(s)
- Airi Kobayashi
- Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Hitoshi Terui
- Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Toshiya Takahashi
- Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Masato Mizuashi
- Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Yoshihide Asano
- Department of Dermatology, Tohoku University Graduate School of Medicine, Sendai, Japan
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3
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Gimeno-Hernández J, Merino-Menéndez S, Alarcón-García L, Iglesias-Moreno MC. Cervical pilomatricoma: An unusual ent diagnosis. Acta Otorrinolaringol Esp (Engl Ed) 2024; 75:61-63. [PMID: 37391166 DOI: 10.1016/j.otoeng.2023.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 01/11/2023] [Accepted: 01/18/2023] [Indexed: 07/02/2023]
Affiliation(s)
- Jesús Gimeno-Hernández
- Servicio de Otorrinolaringología, Hospital Clínico San Carlos, Madrid, Spain; Departamento de Inmunología, Oftalmología y Otorrinolaringología, Facultadd de Medicina, Universidad Complutense, Madrid, Spain.
| | | | | | - María Cruz Iglesias-Moreno
- Servicio de Otorrinolaringología, Hospital Clínico San Carlos, Madrid, Spain; Departamento de Inmunología, Oftalmología y Otorrinolaringología, Facultadd de Medicina, Universidad Complutense, Madrid, Spain
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4
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Takagi M, Kinoshita-Ise M, Fukuyama M, Nishikawa S, Miyoshi M, Sugimoto T, Yamazaki M, Ogo M, Ohyama M. Invention of automated numerical algorithm adopting binarization for the evaluation of scalp hair coverage: An image analysis providing a substitute for phototrichogram and global photography assessment for hair diseases. J Dermatol Sci 2023; 112:92-98. [PMID: 37777361 DOI: 10.1016/j.jdermsci.2023.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 09/07/2023] [Accepted: 09/19/2023] [Indexed: 10/02/2023]
Abstract
BACKGROUND The efficacy of therapeutic modalities for hair disease can be evaluated globally by photo assessment and more precisely by phototrichogram (PTG). However, the latter procedure is laborious, time consuming, subject to inter-observer variation, and requires hair clipping. OBJECTIVE To establish an automated and patient/investigator friendly methodology enabling quantitative hair amount evaluation for daily clinical practice. METHODS A novel automated numerical algorithm (aNA) adopting digital image binarization (i.e., black and white color conversion) was invented to evaluate hair coverage and measure PTG parameters in scalp images. Step-by-step improvement of aNA was attempted through comparative analyses of the data obtained respectively by the novel approach and conventional PTG/global photography assessment (GPA). RESULTS For measuring scalp hair coverage, the initial version of aNA generally agreed with the cumulative hair diameter as assessed using PTG, showing a coefficient of 0.60. However, these outcomes were influenced by the angle of hair near the parting line. By integrating an angle compensation formula, the standard deviation of aNA data decreased from 5.7% to 1.2%. Consequently, the coefficient of determination for hair coverage calculated using the modified aNA and cumulative hair diameter assessed by PTG increased to 0.90. Furthermore, the change in hair coverage as determined by the modified aNA protocol correlated well with changes in the GPA score of images obtained using clinical trials. CONCLUSION The novel aNA method provides a valuable tool for enabling simple and accurate evaluation of hair growth and volume for clinical trials and for treatment of hair disease.
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Affiliation(s)
- Masaya Takagi
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | | | - Masahiro Fukuyama
- Department of Dermatology, Kyorin University Faculty of Medicine, Tokyo, Japan
| | - Saori Nishikawa
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | - Mami Miyoshi
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | - Takaki Sugimoto
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | - Masako Yamazaki
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | - Masashi Ogo
- Regenerative Medicine Research & Business Development Department, Shiseido Co., Ltd, Yokohama, Japan
| | - Manabu Ohyama
- Department of Dermatology, Kyorin University Faculty of Medicine, Tokyo, Japan
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5
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Wei X, Cheng D, Shao C, Pang K, Xiao J, Zhang Y, Wu M, Zhang L, Ni P, Zhang F. A comparative study of pilomatricoma and epidermoid cyst with ultrasound. Clin Radiol 2023; 78:e582-e589. [PMID: 37183139 DOI: 10.1016/j.crad.2023.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 04/09/2023] [Accepted: 04/19/2023] [Indexed: 05/16/2023]
Abstract
AIM To explore and compare the ultrasonic (US) features of pilomatricoma (PM) and epidermoid cyst (EC) in the differential diagnosis and improve the accuracy of US diagnosis of PM. MATERIALS AND METHODS Three hundred and nine patients who underwent US examination before surgery with a histopathological diagnosis of PM or EC after surgery were analysed retrospectively. The patients were categorised into the training and validation sets according to the inspection times. Univariate analysis was undertaken on the US and clinical features of PM and statistically significant variables (p<0.05) were included in the multivariate logistic regression model to establish a diagnostic model. RESULTS The results demonstrated that the multivariate logistic regression model for PM was statistically significant (p<0.001). The risk factors included posterior echo attenuation and hypoechoic halos (odds ratio [OR] = 9.277, 10.254) and the protective factors included age, diameter thickness, and posterior echo enhancement (OR=0.936, 0.302, 0.156). The performance of the diagnostic model was tested using the training set (area under the receiver operating characteristic curve [AUC] = 0.974, 95% confidence interval [CI] = 0.955-0.994) and the validation set (AUC = 0.967, 95% CI = 0.926-1.000), which demonstrated good discriminant ability. CONCLUSIONS The diagnostic accuracy for PM was higher than that for EC when the nodule is characterised by posterior echo attenuation, hypoechoic halos, smaller thickness, and younger age. The US diagnostic model developed may be used to guide the diagnosis of PM.
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Affiliation(s)
- X Wei
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - D Cheng
- Department of Radiology, Jinan Fourth People's Hospital, Jinan, Shandong, China
| | - C Shao
- Department of Evidence-Based Medicine, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - K Pang
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - J Xiao
- Department of Evidence-Based Medicine, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - Y Zhang
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - M Wu
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - L Zhang
- Department of Pathology, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - P Ni
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China
| | - F Zhang
- Department of Ultrasound, the Second Hospital of Shandong University, Jinan, Shandong, China.
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Lane JR, Cochran E, Akbari SHA. Cranial pilomatricoma: a diagnosis to consider. Childs Nerv Syst 2023; 39:821-824. [PMID: 36282306 DOI: 10.1007/s00381-022-05716-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 10/19/2022] [Indexed: 11/26/2022]
Abstract
Pilomatricomas are benign tumors of the hair follicle that occur frequently in the scalp region. They occur most often in children. We describe a case of pilomatricoma in a teenager, referred to neurosurgery for excision. This diagnosis should be considered in the workup of scalp lesions, and this case report should serve to draw attention to this entity.
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Affiliation(s)
- Jessica R Lane
- Division of Pediatric Neurosurgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.
| | - Eric Cochran
- Department of Pathology and Laboratory Medicine, Penn State Hershey Medical Center, Hershey, PA, USA
| | - Syed Hassan A Akbari
- Division of Pediatric Neurosurgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA
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7
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Cavanagh G, Negbenebor NA, Robinson-Bostom L, Walker JL. Two Cases of Malignant Proliferating Trichilemmal Tumor (MPTT) and Review of Literature. R I Med J (2013) 2022; 105:12-16. [PMID: 35081182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Malignant proliferating trichilemmal tumors (MPTTs, malignant proliferating pilar tumors) are theorized to originate from the outer root sheath of the hair follicle which resembles the isthmic portion of the hair follicle and epithelium of the lower hair follicle in catagen phase.1 They may develop de novo or arise from a pre- existing trichilemmal cyst or proliferating trichilemmal tumor. The tumors typically present with rapid growth on the scalps of women over the age of 50. In this review, we present two cases of MPTT, presenting on the scalp of a 69-year-old woman and the scalp of a 53-year-old woman. Both tumors were successfully treated with surgery and radiation. In addition to the classic histologic features, pilomatrical differentiation was also seen in case 1, a histologic feature that has rarely been described. In this paper, we review previously reported cases and summarize basic demographics, lesion size, location, treatment method, and patient outcome.
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Affiliation(s)
- Gregory Cavanagh
- Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI
| | - Nicole A Negbenebor
- Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI
| | - Leslie Robinson-Bostom
- Department of Dermatology, The Warren Alpert Medical School of Brown University, Providence, RI
| | - Joanna L Walker
- Department of Dermatology, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA
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8
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He P, Chen W, Zhang Q, Cui LG, Zhang Q. Distinguishing a Trichilemmal Cyst From a Pilomatricoma With Ultrasound. J Ultrasound Med 2020; 39:1939-1945. [PMID: 32333607 DOI: 10.1002/jum.15298] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 03/18/2020] [Accepted: 03/22/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES To determine whether ultrasound (US) could distinguish a trichilemmal cyst from a pilomatricoma preoperatively. METHODS Ultrasound images of 61 pathologically proven trichilemmal cysts and 90 pathologically proven pilomatricomas were analyzed retrospectively. Two radiologists evaluated several US features. The sensitivity, specificity, Youden index, and predictive values of statistically significant US features were assessed. Parallel combined tests, serial combined tests, or both were performed to identify US features with high statistical significance. RESULTS Results from individual US features were not satisfactory; however, serial combined tests that included absence of complete internal echogenic foci, absence of a hypoechoic rim, absence of peritumoral hyperechogenicity, and absence of vascularity showed higher diagnostic utility. The sensitivity, specificity, Youden index, positive predictive value, and negative predictive value for correctly identifying a trichilemmal cyst were 74%, 88%, 0.62, 80%, and 83%, respectively. If 1 of these 4 US features was not a match for a trichilemmal cyst, pilomatricoma was considered. CONCLUSIONS It may be possible to distinguish trichilemmal cysts from pilomatricomas preoperatively using US. A combined test is superior to using any individual US feature.
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Affiliation(s)
- Ping He
- Department of Ultrasound, Peking University Third Hospital, Beijing, China
| | - Wen Chen
- Department of Ultrasound, Peking University Third Hospital, Beijing, China
| | - Qian Zhang
- Department of Dermatology, Peking University Third Hospital, Beijing, China
| | - Li-Gang Cui
- Department of Ultrasound, Peking University Third Hospital, Beijing, China
| | - Qian Zhang
- Department of Dermatology, Peking University Third Hospital, Beijing, China
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9
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Chen HS, Li FG, Wang T, Huang WB, Fan YM. Dermoscopic and Immunohistochemical Observations in Anetodermic Pilomatricoma: A Case Report. Acta Derm Venereol 2020; 100:adv00088. [PMID: 32162670 DOI: 10.2340/00015555-3449] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Hao-Song Chen
- Department of Dermatology, Affiliated Hospital of Guangdong Medical University, 524001 Zhanjiang, China
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10
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Lehmer L, Carly SK, de Feraudy S. Matrical carcinoma with melanocytic hyperplasia mimicking nodular melanoma in an elderly Mexican male. J Cutan Pathol 2019; 46:442-446. [PMID: 30785652 DOI: 10.1111/cup.13445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Revised: 01/06/2019] [Accepted: 02/01/2019] [Indexed: 11/29/2022]
Abstract
Matrical carcinoma with melanocytic hyperplasia (MCMH), previously referred to as malignant melanocytic matricoma, is a rare variant of the uncommon pilomatrical carcinoma, occurring most often on the head/neck and upper backs of middle-aged men. Nodular lesions may resemble pigmented basal cell carcinoma or melanoma clinically. We present a case of MCMH in a Hispanic patient with history of melanoma. Histopathological clues to appropriate diagnosis include basaloid cells, numerous atypical mitotic figures, matrical differentiation, shadow cells, strong diffuse nuclear and cytoplasmic expression of ß-catenin, and interspersed pigmented dendritic melanocytes.
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Affiliation(s)
- Larisa Lehmer
- Department of Dermatology, University of California, Irvine, California
| | - Sama K Carly
- Department of Dermatology, University of California, Irvine, California
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Cabrera R, Reculé F, Hojman L, Larrondo J. Follicular vitiligo: dermatoscopic features of a new subtype of vitiligo. An Bras Dermatol 2019; 94:120-121. [PMID: 30726484 PMCID: PMC6360965 DOI: 10.1590/abd1806-4841.20198086] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Accepted: 05/18/2018] [Indexed: 11/22/2022] Open
Affiliation(s)
- Raúl Cabrera
- Department of Dermatology, Clínica Alemana, Universidad
del Desarrollo, Santiago, Chile
| | - Francisca Reculé
- Department of Dermatology, Clínica Alemana, Universidad
del Desarrollo, Santiago, Chile
| | - Lía Hojman
- Department of Dermatology, Clínica Alemana, Universidad
del Desarrollo, Santiago, Chile
| | - Jorge Larrondo
- Department of Dermatology, Clínica Alemana, Universidad
del Desarrollo, Santiago, Chile
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12
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Pinheiro TN, Fayad FT, Arantes P, Benetti F, Guimarães G, Cintra LTA. A new case of the pilomatrixoma rare in the preauricular region and review of series of cases. Oral Maxillofac Surg 2018; 22:483-488. [PMID: 30284072 DOI: 10.1007/s10006-018-0724-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Accepted: 09/26/2018] [Indexed: 06/08/2023]
Abstract
Pilomatrixoma is considered a rare benign tumor arising from the hair follicle, most common in the head and neck region, but it is rarely diagnosed on a clinical basis. This report describes a new case of giant pilomatrixoma in a 36-year-old female patient. The nodule was localized in the preauricular area on the right side, appearing as a slow-growing, fixed, painless, with a hardened consistency, unusual giant (4.5 cm). A cone-beam computed tomography (CBCT) examination showed a slightly hyperdense lesion, and fine-needle aspiration cytology (FNAC) revealed peripheral blood and mononucleated inflammatory cells. After enucleation of lesion, a diagnosis of pilomatrixoma was confirmed. The differential diagnosis of pilomatrixoma is broad, because its characteristics also can be found in other lesions common to the head and neck. Thus, a lesion in the head and neck, adherent to the skin, and well demarcated, mainly in the young and in females, should be suspected as pilomatrixoma.
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Affiliation(s)
- Tiago Novaes Pinheiro
- Oral Pathology and Oral Medicine, Amazonas State University, Manaus, AM, 69050-010, Brazil
| | | | - Pedro Arantes
- Maxilofacial Surgery, Amazonas State University Maxilofacial Surgery Residency, Manaus, AM, 69050-010, Brazil
| | - Francine Benetti
- Endodontics, School of Dentistry, São Paulo State University (Unesp), Araçatuba, SP, 16015-050, Brazil
| | - Gustav Guimarães
- Periodontics, School of Dentistry, University Center São Lucas, Porto Velho, RO, 76804- 295, Brazil
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Torun N, Canbolat ET. Aggressive metastatic malignant pilomatrixoma followed by 18F-FDG PET/CT. Rev Esp Med Nucl Imagen Mol 2018; 38:254-255. [PMID: 30424974 DOI: 10.1016/j.remn.2018.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 07/04/2018] [Accepted: 07/06/2018] [Indexed: 11/19/2022]
Affiliation(s)
- Nese Torun
- Department of Nuclear Medicine, Baskent University Faculty of Medicine, Adana Dr. TurgutNoyan Teaching and Medical Research Center, Adana, Turquía.
| | - Emine Tuba Canbolat
- Department of Pathology, Baskent University Faculty of Medicine, Adana Dr. TurgutNoyan Teaching and Medical Research Center, Adana, Turquía
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14
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Rodríguez-Jato Q, Canoura-Fernández L, Flórez A. Image Gallery: Trichomycosis axillaris: dermoscopic, Wood's lamp and methylene blue imaging. Br J Dermatol 2018; 179:e89. [PMID: 30141550 DOI: 10.1111/bjd.16725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- Q Rodríguez-Jato
- Department of Dermatology, Complejo Hospitalario de Pontevedra, Rúa Simón Bolívar, 78, Pontevedra, 36003, Spain
| | - L Canoura-Fernández
- Department of Dermatology, Complejo Hospitalario de Pontevedra, Rúa Simón Bolívar, 78, Pontevedra, 36003, Spain
| | - A Flórez
- Department of Dermatology, Complejo Hospitalario de Pontevedra, Rúa Simón Bolívar, 78, Pontevedra, 36003, Spain
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15
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Kapoor A, Narayanan R, Tandon A, Santosh AK. Pilomatricoma: An unusual cause of lump in a male breast. J Clin Ultrasound 2018; 46:209-211. [PMID: 28555882 DOI: 10.1002/jcu.22503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2016] [Revised: 04/25/2017] [Accepted: 05/04/2017] [Indexed: 06/07/2023]
Abstract
We present the case of a 48-year-old man who presented with a painless, progressively increasing lump in the left breast. The mammographic and sonographic appearance of the lesion was suspicious for malignancy. Fine needle aspiration cytology and histopathologic examination confirmed the diagnosis of pilomatricoma. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:209-211, 2018.
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Affiliation(s)
- Anu Kapoor
- Department of Radiology, Nizams Institute of Medical Sciences, Panjagutta Hyderabad, Telangana, India, 500082
| | - Ramakrishna Narayanan
- Department of Radiology, Nizams Institute of Medical Sciences, Panjagutta Hyderabad, Telangana, India, 500082
| | - Ashwani Tandon
- Department of Pathology, Nizams Institute of Medical Sciences, Panjagutta Hyderabad, Telangana, India, 500082
| | - Arun Kumar Santosh
- Department of Radiology, Nizams Institute of Medical Sciences, Panjagutta Hyderabad, Telangana, India, 500082
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16
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Lin S, Xu S, Xie Z. Calcifying epithelioma of malherbe (Pilomatrixoma): Clinical and sonographic features. J Clin Ultrasound 2018; 46:3-7. [PMID: 28677820 PMCID: PMC5763411 DOI: 10.1002/jcu.22517] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 05/19/2017] [Accepted: 06/03/2017] [Indexed: 05/28/2023]
Abstract
PURPOSE The purpose of this study was to describe the clinical and sonographic features of calcifying epitheliomas (pilomatrixomas). METHODS We retrospectively reviewed the clinical data and sonographic appearances of 59 cases of calcifying epitheliomas in 58 patients that were confirmed pathologically. RESULTS The mean age of the patients was 26 years (range, 5-69 years) and the female-to-male ratio was 1.2. All masses were located in subcutaneous soft tissues. Overall, 76.3% of the cases were located in the head and neck; the mean tumor size was 13 mm, and 72.9% of the cases were between 10 and 20 mm in size. Of the lesions, 62.7% were hypoechoic masses with internal calcifications, and 74.6% of them showed low or moderate internal vascularity on Doppler imaging. CONCLUSIONS The diagnosis of calcifying epithelioma should be considered in a patient with a painless, circumscribed, oval-shaped hypoechoic mass with internal calcifications and internal vascularity in the subcutaneous soft tissues of the head or neck. The mass may be small and have well-defined margins, with hypoechogenicity. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:3-7, 2018.
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Affiliation(s)
- Sai‐Feng Lin
- Department of UltrasoundThe first affiliated hospital of Wenzhou Medical UniversityWenZhou325000Zhejiang ProvinceChina
| | - Shi‐Hao Xu
- Department of UltrasoundThe first affiliated hospital of Wenzhou Medical UniversityWenZhou325000Zhejiang ProvinceChina
| | - Zuo‐Liu Xie
- Department of UltrasoundThe first affiliated hospital of Wenzhou Medical UniversityWenZhou325000Zhejiang ProvinceChina
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Vázquez-Osorio I, García SM, Rodríguez-Díaz E, Gonzalvo-Rodríguez P. Anetodermic pilomatricoma: clinical, histopathologic, and sonographic findings. Dermatol Online J 2017; 23:13030/qt5920j4zm. [PMID: 28329524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 03/21/2017] [Indexed: 06/06/2023] Open
Abstract
Pilomatricoma is a benign cutaneous tumor originatingfrom hair matrix cells. Anetodermic changes inthe skin overlying pilomatricomas are sometimesreported, although their precise mechanisms remainunknown. We present an unusual case of anetodermicpilomatricoma on the upper extremity of a 17-yearoldboy and report its clinical, histopathologic, andsonographic findings.
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Affiliation(s)
- Igor Vázquez-Osorio
- Hospital Universitario de Cabueñes, Servicio de Dermatología, Gijón, Asturias, España.
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18
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Leitmeyer K, Storck C. [Not Available]. Praxis (Bern 1994) 2016; 105:1342-1343. [PMID: 27805853 DOI: 10.1024/1661-8157/a002507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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19
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Dutta A, Ghosh SK, Majumder B, Majumdar R. Generalized woolly hair with diventricular arrythmogenic cardiomyopathy: a rare variant of Naxos disease. Dermatol Online J 2016; 22:13030/qt86r7s857. [PMID: 28329610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Accepted: 09/15/2016] [Indexed: 06/06/2023] Open
Abstract
Woolly hair may occur as an isolated problem of cosmetic concern or can be a part of a systemic disease (woolly hair syndrome) with underlying fatal cardiomyopathy. Two characteristic associations of woolly hair syndrome are Naxos disease and Carvajal syndrome. Naxos disease is characterized by woolly hair, palmoplantar keratoderma, and arrythmogenic right ventricular cardiomyopathy.In this report we describe a case of a young girl who presented with heart failure and was subsequently diagnosed as a case of generalized woolly hair with biventricular arrythmogenic cardiomyopathy.Our case represented a rare variant of Naxos disease in the advanced stage of arrythmogenic right ventricular cardiomyopathy; biventricular failure may occur with involvement of the interventricular septum and left ventricle causing congestive heart failure.
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Affiliation(s)
| | - Sudip Kumar Ghosh
- Department of Dermatology, Venereology, & Leprosy, R G Kar Medical College, Kolkata.
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20
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Yamaoka M, Kuramochi A, Takeuchi K, Saitoh T, Ikebuchi K. [Sonographic appearance of benign subcutaneous nodules--including color Doppler sonography]. Rinsho Byori 2014; 62:432-439. [PMID: 25051657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE Color Doppler sonography is used to distinguish malignant from benign subcutaneous nodules because many malignant tumors show an increased number of vessels. But benign lesions, such as inflammatory epidermal cysts, pilomatricomas, palmoplantar fibromatoses show vascular flow signals. We analyze diagnostic factors for subcutaneous nodules on the basis of ultrasonographic appearance including color Doppler sonography. METHODS We evaluated with sonography 79 subcutaneous nodules in histopathologically proven cases. RESULTS AND DISCUSSION The diagnostic findings for 28 epidermal cysts were increased posterior echo(sensitivity 77%, specificity 90%). Vascular flow signals were seen in 7 cases(25%). The signals were seen from periphery to adjacent zone of the mass. They were accompanied by inflammatory granulation tissues histologically. The percentage of blood flow may be related to the percentage of "ruptured" epidermal cysts. Pilomatricomas (n = 9) had internal echogenic foci or Doppler flow signals, and no posterior enhancement (sensitivity 89%, specificity 78%). Seven pilomatricomas showed Doppler flow signals in the mass. The percentage of flow signals is explained by the degree of internal echogenic foci because remarkable calcium deposits producing posterior acoustic shadowing prevent us from flow signals. Palmoplantar fibromatoses (n = 5) were ill-defined margins and showed internal vascularity with no posterior enhancement (sensitivity 80%, specificity 94%). CONCLUSION More benign lesions showed vascular flow signals than reported previously. We have to diagnose subcutaneous nodules referring to not only color Doppler but also gray scale sonography.
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21
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Song EH, Lee SY, Park HJ, Jin Lee Y, Wan Chae S, Pyo JS, Lee MH. Cystic pilomatrixoma of the wrist mimicking a ganglion cyst in a child. J Clin Ultrasound 2013; 41:313-315. [PMID: 22531962 DOI: 10.1002/jcu.21931] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2011] [Accepted: 03/19/2012] [Indexed: 05/31/2023]
Abstract
We describe a patient with a cystic pilomatrixoma mimicking a ganglion cyst on ultrasound. A 9-year-old boy had a subcutaneous mass on his left wrist. Ultrasound displayed a well-defined, multilobulated anechoic mass containing a few internal septa between the extensor pollicis longus and the extensor carpi radialis longus tendons. Sonographic findings suggested that the mass was a ganglion cyst. After excisional biopsy, histopathologic examination confirmed the diagnosis of pilomatrixoma.
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Affiliation(s)
- Eun-Hee Song
- Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
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22
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Ghoneima A, Sachdeva K, Hartsfield J, Weaver D, Kula K. The use of cone beam computed tomography for the assessment of trichorhinophalangeal syndrome, type I - a case report. J Orthod 2013; 40:47-52. [PMID: 23524547 PMCID: PMC4801037 DOI: 10.1179/1465313312y.0000000032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Trichorhinophalangeal syndrome type I is a rare autosomal dominant disorder characterized by cone-shaped epiphysis, sparse fine hair, pear-shaped nose and variable growth retardation. The typical craniofacial features include thin upper lip, elongated philtrum, large outstanding ears, shortened posterior facial height associated with short mandibular ramus and reduced and superiorly deflected posterior cranial base. This report describes a 17-year-old male patient with trichorhinophalangeal syndrome type I and a detailed description of the craniofacial radiographic findings, including the use of cone beam computed tomography images for determination of the airway and temporomandibular joint discrepancies.
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Affiliation(s)
- Ahmed Ghoneima
- Department of Orthodontics & Oral Facial Genetics, Indiana University School of Dentistry, 1121 West Michigan Street, Indianapolis, IN 46202, USA.
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23
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Snyder JR, Berk DR, Kwan A, Hudgins L, Bruckner AL. What is your diagnosis? Trichorhinophalangeal syndrome type I. Cutis 2012; 89:56-74. [PMID: 22474724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Affiliation(s)
- Jane R Snyder
- Department of Dermatology, Stanford University School of Medicine, California, USA.
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24
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Sohn YB, Ki CS, Park SW, Cho SY, Ko AR, Kwon MJ, Kim JY, Park HD, Kim OH, Jin DK. Clinical, biochemical, and genetic analysis of two korean patients with trichorhinophalangeal syndrome type I and growth hormone deficiency. Ann Clin Lab Sci 2012; 42:307-312. [PMID: 22964620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Tricho-rhino-phalangeal syndrome type I (TRPSI) is a rare autosomal dominant hereditary disorder characterized by sparse hair, bulbous nose, long philtrum, thin upper lip, and skeletal abnormalities including cone-shaped epiphyses, shortening of the phalanges, and short stature. TRPSI is caused by mutations in the TRPS1 gene. Herein, we report two Korean cases of TRPSI. Although both patients (a 17-year-old-female and a 14-year-old male) had typical clinical findings, Patient 1 had an additional growth hormone (GH) deficiency. Treatment with recombinant human growth hormone (rhGH) 0.7 IU/kg/week led to an increase in growth velocity. Over 10 years of GH therapy, the mean growth velocity was 5.7 ± 0.9 cm/year. However, the patient 2 did not show apparent GH deficiency by GH stimulation test, had a poor response with rhGH therapy and GH therapy was discontinued after 6 months. Upon genetic analysis of the TRPS1 gene, two mutations were found. Patient 1 had a heterozygous mutation c.2520dupT (p.Arg841LysfsX3) which had not been previously reported. Patient 2 had a known nonsense mutation c.1630C>T (p.Arg544X). In summary, we were the first to report Korean patients with mutation of TRPS1.
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Affiliation(s)
- Young Bae Sohn
- Department of Medical Genetics Ajou University Hospital, Suwon, Korea
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25
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Loo CE, van Pel R. [Diagnostic image. A woman with an abnormal screening mammogram]. Ned Tijdschr Geneeskd 2009; 153:B474. [PMID: 19857311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
A 56-year-old woman had an abnormal mammogram and a palpable mass in the left breast. Cytological and histological examination revealed a pilomatrixoma of the breast.
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Affiliation(s)
- Claudette E Loo
- Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis, Amsterdam, The Netherlands.
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26
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Sakai A, Maruyama Y, Hayashi A. Proliferating pilomatricoma: a subset of pilomatricoma. J Plast Reconstr Aesthet Surg 2008; 61:811-4. [PMID: 17459800 DOI: 10.1016/j.bjps.2007.02.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2006] [Revised: 10/11/2006] [Accepted: 02/07/2007] [Indexed: 10/23/2022]
Abstract
Proliferating pilomatricoma is a histopathological entity that was proposed by Kaddu et al. in 1997. Proliferating pilomatricoma represents a distinctive histopathological entity; it should be differentiated from other benign and malignant neoplasms with features of hair matrix differentiation. Kaddu reported that an incompletely excised proliferating pilomatricoma may have a greater potential for local recurrence, because histopathologically it showed variable nuclear atypia and several mitotic figures. We report two patients with proliferating pilomatricoma and describe their clinical and pathological features.
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Affiliation(s)
- Atsuko Sakai
- Department of Plastic and Reconstructive Surgery, Toho University Ohashi Hospital, Tokyo, Japan.
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27
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Reddy SS, Gadre SA, Adegboyega P, Gadre AK. Multiple pilomatrixomas: case report and literature review. Ear Nose Throat J 2008; 87:230-233. [PMID: 18478800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
Pilomatrixoma is a rare, benign, circumscribed, calcifying epithelial neoplasm that is derived from hair matrix cells. Multiple pilomatrixomas are uncommon. We describe a case of multiple pilomatrixomas in a 23-year-old black woman who presented with lesions on her face and back. Based on the results of the clinical examination, she was provisionally diagnosed with either calcified sebaceous cysts or calcified lymph nodes. She underwent surgical excision of the masses. On histopathology, the lesions were identified as pilomatrixomas. We attribute our original failure to diagnose this condition to our lack of familiarity with it. We discuss the presentation, differential diagnosis, and other characteristics of pilomatrixomas.
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Affiliation(s)
- Shashidhar Sadda Reddy
- Department of Otolaryngology-Head and Neck Surgery, University of Texas Medical Branch, Galveston, USA
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28
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Rousselot C, Tourasse C, Samimi M, Degand P, Dénier JF, Michenet P. [Breast pilomatrixoma manifested as microcalcifications on mammography: report of two cases]. ACTA ACUST UNITED AC 2007; 88:978-80. [PMID: 17878857 DOI: 10.1016/s0221-0363(07)89907-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Pilomatricoma is a benign tumor of hair follicule origin corresponding to a firm subcutaneous nodule requiring histology for diagnosis. Only few breast pilomatricomas have been reported, with imaging showing well defined nodules with microcalcifications. We report two cases of intra-mammary pilomatricomas presenting as ACR BI-RADS 4 and 5 microcalcifications, suspicious for malignant tumors. Percutaneous biopsy confirmed the histological diagnosis. Malignant pilomatricomas have been reported, suggesting that all pilomatricomas should be resected.
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29
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Affiliation(s)
- Fatih Göktay
- Department of Dermatology, Haydarpaşa Numune Training and Research Hospital, 34668 Usküdar, Istanbul, Turkey.
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30
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Affiliation(s)
- Adam F Gustin
- Department of Radiology, Mount Auburn Hospital, Cambridge, MA, USA
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31
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Abstract
Pilomatrixoma also known as calcified epithelioma of Malherbe, is a rare benign cutaneous tumor. It is most commonly seen in the head and neck areas, during the first two decades of life. We report a 30-year-old female patient with a rare localisation of pilomatrixoma in the right arm. The pilomatrixoma was excised and at one year follow-up there has been no evidence of recurrence.
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Affiliation(s)
- A Daoudi
- Service de traumato-orthopédie, CHU Hassan-II, Fès, Maroc.
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32
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Abstract
OBJECTIVES The purpose of this series was to describe typical ultrasonographic features of 20 cases of pilomatricoma and to improve its diagnostic rate with the use of an ultrasonographic approach. METHODS For 20 pilomatricomas in 19 patients with preoperative ultrasonography from 1995 to 2004, we reviewed age, sex, symptoms, duration, referring clinician, and tumor sites. The ultrasonographic findings were retrospectively analyzed for tumor location, shape, size, margin, echo texture, echogenicity, presence, amount, and shape of calcification, presence of a hypoechoic rim, and Doppler flow pattern. RESULTS The mean age of the 19 patients was 6.9 years (range, 1-21 years), and the female-male ratio was 1.1:1. Patients had a painful palpable mass in 10 cases (50%). Nine lesions occurred in the neck, 5 in the cheek, 2 in the preauricular region, and 4 in the extremity. All tumors were located in the subcutaneous layer. The mean size of the tumors was 13.4 mm. Fourteen pilomatricomas (70%) appeared as well-defined oval masses. Tumors were heterogeneously hyperechoic in 80% of cases. All tumors had internal echogenic foci. A hypoechoic rim was seen in 17 cases (85%). Doppler flow signals were observed in the peripheral region in 14 cases (70%). A correct preoperative diagnosis was made in 33% on the basis of clinical findings and in 76% by ultrasonography. CONCLUSIONS Diagnosis of pilomatricoma should be considered when a well-defined mass with inner echogenic foci and a peripheral hypoechoic rim or a completely echogenic mass with strong posterior acoustic shadowing in the subcutaneous layer of the head, neck, or extremity is found on ultrasonography.
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Affiliation(s)
- Ji Young Hwang
- Department of Radiology and Medical Research Institute, Ewha Womans University College of Medicine, 911-1 Mokdong, Yangcheongu, 158-710 Seoul, Korea
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Okur E, Yildirim I, Bakariş S, Okur N, Kiliç MA. [Pilomatrixoma of the head and neck in six cases]. Kulak Burun Bogaz Ihtis Derg 2005; 14:121-6. [PMID: 16340281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
Pilomatrixomas are benign neoplasms of the hair follicle, presenting as a mass in the head and neck region. Those arising from the parotid region may pose a diagnostic challenge. We present six patients (age range 6 to 68 years) with pilomatrixoma in the head and neck region. The lesions were located in the preauricular region in two cases, and in the periorbital region, the forehead, the neck, and in the dorsum of the nose in the other patients, respectively. The main complaint was a hard, slow-growing mass in all the cases. All the patients were treated surgically. Histopathologic diagnosis was pilomatrixoma. No recurrences or surgery-associated complications were observed in the follow-up period.
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Affiliation(s)
- Erdoğan Okur
- Department of Otolaryngology, Medicine Faculty of Kahramanmaraş Sütçü Imam University, Kahramanmaraş, Turkey.
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Abstract
We report three cases of pilomatricoma, one in the infrahyoid neck and the others in the preauricular area. In all cases, CT showed well marginated soft tissue masses that were located mainly in the subcutaneous fat, partly attaching to the overlying skin. There was no evidence of infiltration to deeper structures. Substantial amounts of calcification were found in one tumor. Pilomatricoma should be included in diagnostic consideration when CT shows a well marginated subcutaneous soft tissue mass adherent to the skin with or without visible calcification in the head and neck region.
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Affiliation(s)
- K H Lee
- Department of Radiology, Inha University Hospital, Inchon, South Korea
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35
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Abstract
Pilomatrixomas are relatively common childhood tumors that usually occur in the head and neck region. The clinical diagnosis of these lesions may be difficult, especially if the examining physician is unfamiliar with them. Excision is usually recommended, as a foreign body reaction due to calcification of the lesion may occur and cause a vigorous inflammatory response with risk of scarring. A retrospective study was carried out by examining the preoperative ultrasound scans of 28 suspected pilomatrixomas in 25 children. The findings on sonography were correlated with the histologic results in 19 cases (18 pilomatrixomas and one ruptured epidermoid cyst). In the majority of patients, sonography either correctly supported or excluded the clinical diagnosis of pilomatrixoma and contributed to appropriate preoperative assessment and subsequent management of the lesion. We therefore found sonography of suspected pilomatrixomas in children to be a useful and noninvasive procedure, offering a significant improvement in the accurate diagnosis of these lesions.
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Affiliation(s)
- J Hughes
- Department of Dermatology, Hillingdon Hospital, Uxbridge, Middlesex, United Kingdom
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36
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Ichikawa T, Nakajima Y, Fujimoto H, Koyama A, Honma M, Yatsuzuka M, Ohtomo K, Uchiyama G, Ushigome S, Ohba S. Giant calcifying epithelioma of Malherbe (pilomatrixoma): imaging features. Skeletal Radiol 1997; 26:602-5. [PMID: 9361356 DOI: 10.1007/s002560050293] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
We present a case of giant calcifying epithelioma of Malherbe (pilomatrixoma) in the right upper arm of a 62-year-old man. It measured 18 x 12 x 8 cm in size, making it the largest of all the cases reported previously. CT clearly demonstrated a well-defined, subcutaneous mass with amorphous calcifications. The mass showed intermediate signal intensity on T2*-weighted MR images and slight contrast uptake on contrast-enhanced MR images. Histopathologically, this tumor showed no aggressive or malignant nature. The patient is without evidence of recurrence or metastasis 3 years following the resection.
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Affiliation(s)
- T Ichikawa
- Department of Radiology, Yamanashi Medical College, Japan
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Abstract
Two patients (a 16-month-old boy and a 53-year-old man) were referred for MR imaging of a small, subcutaneous nodule at the forearm. Plain films were available in one patient and showed a non-specific well-circumscribed lesion. Upon ultrasonography (1 patient), a nodular, well-circumscribed, hyperechoic lesion was seen. In both cases spin-echo (SE) T1-weighted images (T1WI) showed homogeneous, intermediate signal intensity (SI). On gadolinium-enhanced T1WI (1 patient), no enhancement was observed. Both lesions showed predominant low-to-intermediate SI on T2WI. At histological examination characteristic findings of pilomatricoma were observed.
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Affiliation(s)
- L H De Beuckeleer
- Department of Radiology, University Hospital of Antwerp, Edegem, Belgium
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Aitken V. Radiographic studies of exotic species. Radiography (Lond) 1983; 49:179-86. [PMID: 6622658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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