Trichilemmal Carcinoma from Proliferating Trichilemmal Cyst on the Posterior Neck
Archives of Craniofacial Surgery
;
: 50-53, 2017.
Article
in English
| WPRIM
| ID: wpr-199174
ABSTRACT
Trichilemmal cysts are common fluid-filled growths that arise from the isthmus of the hair follicle. They can form rapidly multiplying trichilemmal tumors-, also called proliferating trichilemmal cysts, which are typically benign. Rarely, proliferating trichilemmal cysts can become cancerous. Here we report the case of a patient who experienced this series of changes. The 27-year-old male patient had been observed to have a 1×1 cm cyst 7 years ago. Eight months prior to presentation at our institution, incision and drainage was performed at his local clinic. However, the size of the mass had gradually increased. At our clinic, he presented with a 5×4 cm hard mass that had recurred on the posterior side of his neck. The tumor was removed without safety margin, and the skin defect was covered with a split-thickness skin graft. The pathologic diagnosis was a benign proliferating trichilemmal cyst. The mass recurred after 4months, at which point, a wide excision (1.3-cm safety margin) and split-thickness skin graft were performed. The biopsy revealed a trichilemmal carcinoma arising from a proliferating trichilemmal cyst. This clinical experience suggests that clinicians should consider the possibility of malignant changes when diagnosing and treating trichilemmal cysts.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Skin Neoplasms
/
Biopsy
/
Drainage
/
Hair Follicle
/
Transplants
/
Diagnosis
/
Epidermal Cyst
/
Hair Diseases
/
Neck
Type of study:
Diagnostic study
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Archives of Craniofacial Surgery
Year:
2017
Type:
Article
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