Clinical Dermatology Open Access Journal (CDOAJ)

ISSN: 2574-7800

Case Report

Pilomatricoma of the Neck in a Young Boy: An Overlooked Entity

Authors: Nitin J* and Ashok R

DOI: 10.23880/cdoaj-16000326

Abstract

Pilomatricoma is known as one of the benign tumors of the skin appendages. This tumor originates from the matrix cells of the hair follicle. It usually presents as a superficial, firm mass, commonly found in the head and neck region which may pose a diagnostic challenge as it may resemble other common benign lesions such as, sebaceous and epidermoid cysts. Pilomatricoma is best diagnosed by excisional biopsy and histopathological examination. Pathologically, these skin lesions show the presence of basaloid cell islands, eosinophilic cytoplasmic cells without nuclei, as well as haemorrhage and calcification. They typically present as a superficial, firm, solitary, slow-growing mass of the dermis. The overlying skin may exhibit a bluish discoloration or tethering. Treatment consists of surgical excision. Recurrence is rare after complete resection. Malignant pilomatricomas have rarely been reported. We report a case of a young boy with pilomatrixoma of neck, surgical management and histopathological findings.

Keywords: Pilomatricoma; Pilomatrixoma; Hair Follicle; Skin Appendage Tumour; Head and Neck Neoplasm

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