ABSTRACT
Proliferating trichilemmal tumor (PTT) is an uncommon neoplasm originated from the outer root sheath of a hair follicle. Malignant transformation occurs occasionally in proliferating trichilemmal tumors, which can be manifested by sudden rapid growths. Histologically, the malignant proliferating trichilemmal tumors (MPTTs) have shown severe nuclear atypia, marked cellular pleomorphism with atypical mitoses, dyskeratotic cells and infiltrating margins. Squamous cell carcinoma (SCC) should be differentiated with MPTT which indicates characteristic trichilemmal keratinization. Large tumor is considered as a risk factor of metastasis in SCC, but the relationship between tumor size and metastasis in the MPTT is not yet clarified. In this report, two patients have large erythematous nodules with focal ulceration and necrosis on their scalps and were diagnosed as MPTT. Despite the large sizes of the tumors, there were no evidences of metastases. Herein, we report 2 cases of the large MPTT which are presented without metastasis.
Subject(s)
Humans , Carcinoma, Squamous Cell , Hair Follicle , Mitosis , Necrosis , Neoplasm Metastasis , Risk Factors , Scalp , UlcerABSTRACT
Congenital melanocytic nevi (CMN) are benign pigmented lesions that are defined as a tissue malformation of the neuroectoderm. Giant melanocytic nevi with multifocal involvement show significantly greater risk of developing malignant melanomas and neurocutaneous melanocytosis, particularly those in a posterior axial location. Neurocutaneous melanosis is a rare, congenital, non-inherited disorder characterized by the presence of large, multiple congenital melanocytic nevi with proliferation of melanocytes in the central nervous system. Asymptomatic neurocutaneous melanosis can be detectable only by MRI. The patients who have clinical manifestations have an extremely poor prognosis. We present a patient with giant congenital melanocytic nevi involving a major portion of the back with multiple satellite nevi scattered over the whole body associated with asymptomatic neurocutaneous melanosis. We emphasize the importance of imaging study for detection of early neurological symptoms or melanomas. To our knowledge, this is the first case of giant congenital melanocytic nevi associated with asymptomatic neurocutaneous melanosis in Korean dermatologic literatures.
Subject(s)
Humans , Central Nervous System , Magnetic Resonance Imaging , Melanocytes , Melanoma , Melanosis , Neural Plate , Neurocutaneous Syndromes , Nevus , Nevus, Pigmented , PrognosisABSTRACT
Seborrheic keratosis is a common benign epidermal tumor. Although the etiology of seborrheic keratosis is unknown, a genetic predisposition, sun exposure and viral infection are possible factors. It also can be associated with auto-inoculation or chronic stimuli by friction. We experienced two cases of seborrheic keratosis with continuous arrangement along the frictional areas of the inguinal skin. Because there were no triggering factors, including sun exposure or human papilloma virus infection, we thought repetitive frictions or auto-inoculation might be related to these cases. Herein, we report on two cases of seborrheic keratosis that developed along the frictional areas of the inguinal skin.