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2019, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2019; 17 (3)

Giant Pilomatrixoma in Mennonite Population, Case Report

Favela CRM, Paz MRE, Santander FSA, Berrones GM, Camberos RVVT, Palma C, Padilla VF, Baeza RH

Language: Spanish
References: 28
Page: 184-187
PDF size: 152.93 Kb.


ABSTRACT

Introduction: pilomatrixoma is a benign adnexal neoplasm derived from the cells of the hair matrix. Its incidence is one per thousand skin tumors, without predominance of race, affecting young ages. First line treatment is surgical removal.
Case report: 18-year-old female from the Orthodox Mennonite community, consults the plastic surgery service due to a 12 cm tumor, in the posterolateral region of the left forearm, pedicled, with an irregular surface, friable, easy to bleed with some ulcerated and necrotic areas, incisional biopsy diagnosis pilomatrixoma, tomography excluded deep invasion, so total resection of the lesion was performed and reconstructed with skin grafts.
Discussion: our patient pilomatrixoma was ulcer-tumoral type, according to Carvajal, perforating appearance with calcium material, in the tomography it presented the typical characteristics with an isolated calcification, however due to the size, it presented atypical behavior and diagnosis was obtained through biopsy.
Conclusion: delaying diagnosis and surgical treatment can cause pilomatrixomas to reach an atypical, even giant sizes. Resection must take advantage of the null invasion of deep functional structures, with simple reconstructions of good aesthetic results.


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