RESUMO
A 74-year-old woman was referred for evaluation and treatment of a tumor measuring 3 x 2 cm in the left preauricular region that has been progressively growing in the past years. Physical examination revealed an hemispheric and firm tumor with reddish coloration and telangiectases. The patient has been using a wig during the past 15 years to cover the scalp lesions. The patient underwent complete surgical excision of the scalp and the defect was reconstructed with partial-thickness grafts. Given the long-standing evolution and extension of the tumors involving the scalp and face we suspected a familial cylindromatosis syndrome therefore, we revised her six children observing scalp tumors in two daughters. The tumors were excised and the histological findings confirmed the diagnosis of cylindromas.
Assuntos
Carcinoma Adenoide Cístico/genética , Neoplasias de Cabeça e Pescoço/genética , Neoplasias Primárias Múltiplas/genética , Síndromes Neoplásicas Hereditárias/genética , Couro Cabeludo/patologia , Neoplasias Cutâneas/genética , Idoso , Carcinoma Adenoide Cístico/patologia , Carcinoma Adenoide Cístico/cirurgia , Progressão da Doença , Feminino , Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Cabeça e Pescoço/cirurgia , Humanos , Neoplasias Primárias Múltiplas/patologia , Neoplasias Primárias Múltiplas/cirurgia , Síndromes Neoplásicas Hereditárias/patologia , Síndromes Neoplásicas Hereditárias/cirurgia , Couro Cabeludo/cirurgia , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Transplante de PeleRESUMO
Se trata de una mujer de 74 años, que acude a la consulta remitida para valoración y tratamiento de tumoración de 3 × 2 cm en región preauricular izquierda, que había ido creciendo progresivamente a lo largo de los últimos años. A la exploración, se observa un tumor duro, globuloso, de carácter hemisférico, de bordes bien delimitados, de color rojizo con telangiectasias. La paciente usaba peluca desde hace quince años para ocultar las lesiones de su cuero cabelludo. La paciente fue intervenida realizando exéresis completa del cuero cabelludo hasta el plano de la galea, mientras que la reconstrucción se realizó con injertos cutáneos de espesor parcial. Dada la extensión de las tumoraciones, generalizadas por el cuero cabelludo y la cara y su larga evolución, sospechamos un síndrome de cilindromatosis familiar, por lo que citamos a consulta a sus seis hijos, encontrando en dos de ellos tumores en cuero cabelludo que fueron extirpados. El resultando de la anatomía patológica fue en los dos casos de cilindromas
A 74-year-old woman was referred for evaluation and treatment of a tumor measuring 3 × 2 cm in the left preauricular region that has been progressively growing in the past years. Physical examination revealed an hemispheric and firm tumor with reddish coloration and telangiectases. The patient has been using a wig during the past 15 years to cover the scalp lesions. The patient underwent complete surgical excision of the scalp and the defect was reconstructed with partial-thickness grafts. Given the long-standing evolution and extension of the tumors involving the scalp and face we suspected a familial cylindromatosis syndrome therefore, we revised her six children observing scalp tumors in two daughters. The tumors were excised and the histological findings confirmed the diagnosis of cylindromas
