Pilomatrix Carcinoma of the scalp. A case report and review of the literature

Annales de chirurgie plastique et esthétique
T SorinE Simon

Abstract

Pilomatrix Carcinoma (PC) is a rare and malignant dermo-hypodermic tumor. Only 11 cases were reported in patients younger than 18 years old and only 13 cases were reported on the scalp. We report the case of a 15-year-old woman who underwent cyst excision on the vertex. Anatomopathology shed light trichilemmal cyst. Five months later, she presented a first local recurrence. The tumor was removed with wide margin. Anatomopathology shed light PC. No adjuvant therapy was performed. The patient presented a second recurrence 3 months later with a parietal bone and superior sagittal sinus invasion and a lung metastasis. She underwent a craniotomy and radiochemotherapy. A third local recurrence was detected 4 months later. Three more lines of chemotherapy were performed without success. PC is a locally aggressive tumour, with a high rate of local recurrences and metastases. PC arises de novo or through malignant transformation of a pilomatrixoma. PC were observed frequently in the white male over 50 years old. The histological diagnosis is difficult to prove. Treatment consists of a wide surgical excision. Peritumoral margins are not codified. Because of most cases are on the face and neck, Mohs Micrographic Surgery seems to be a good...Continue Reading

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Citations

Nov 9, 2016·Clinical Nuclear Medicine·Manuela VadrucciGiuseppe Lomuscio
Sep 16, 2017·Journal of Cutaneous Pathology·Christopher JonesWilliam Anderson
Mar 28, 2017·Journal of Stomatology, Oral and Maxillofacial Surgery·M RomeuL Guyot

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