2019, Number 4
<< Back Next >>
Dermatología Cosmética, Médica y Quirúrgica 2019; 17 (4)
Proliferating Trichilemmal Cyst: Case Report with Long Evolution
Cisneros PDA, Tovar FR, Ortega PR, Rodríguez JALL, Morales TML, Ruiz RC
Language: Spanish
References: 12
Page: 272-274
PDF size: 135.31 Kb.
ABSTRACT
We report a case of a 76-year-old male with a proliferating
trichilemmal cyst. It is a benign tumor originated in the external
root sheath in the hair follicle. It exhibits predilection for the
scalp due to the higher density of hair follicles. These lesions
are approximately five times more common in women, and the
mean age is 65 years old. The typical proliferating hair cyst or
proliferating trichilemmal tumor is a large (up to 25 cm) exophytic
neoplasm confined almost exclusively to the scalp. The
behavior is generally benign, locally destructive behavior and
metastases to regional lymph nodes are rare. Histopathological
findings are widespread trichilemmal keratinization. Treatment
of choice is complete surgical excision.
REFERENCES
Calonje JE, Brenn T, Lazar A y McKee PH, Pathology of the skin, 4ª ed., Maryland, Mosby, 2011, pp. 1457-59.
Billings SD, Tumors and tumorlike conditions of the skin. En Rosai and Ackerman’s surgical pathology, 7ª ed., Maryland, Mosby, 2017, pp. 45-143.
Patterson JW, Trichilemmal (trichilemma cyst). En Weedon’s skin pathology, 4ª ed., Cambridge, Elsevier, 2015, pp. 509-29.
Stone MS, Cysts, proliferating tricholemmal cyst. En Bolognia JL, Schafeer JV y Cerroni L, Dermatology, 4ª ed., Cambridge, Elsevier Health, 2018, pp. 1917-29.
Garetto F, Morozzo G, Morozzo U y Rosato L, Recurrent proliferating trichilemmal cyst of the scalp, G Ital Dermatol Venereol 2018; 153:107-10.
Cavaleiro LH, Viana FO, Carneiro CM y Miranda MF, Proliferating trichilemmal tumor: case report, An Bras Dermatol 2011; 86:S190-2.
Satyaprakash AK, Sheehan DJ y Sangüeza OP, Proliferating trichilemmal tumors: a review of the literature, Dermatol Surg 2007; 33:1102-8.
Tellechea O, Cardoso JC, Reis JP, Ramos L, Gameiro AR, Coutinho I y Baptista AP, Benign follicular tumors, An Bras Dermatol 2015; 90(6):780- 96.
Poiares Baptista A, Garcia E, Silva L y Born MC, Proliferating trichilemmal cyst, J Cutan Pathol 1983; 10:178-87.
Batman PA y Evans HJ, Metastasising pilar tumor of scalp, J Clin Pathol 1986; 39:757-60.
Guevara-Castillo RM, Peniche Castellanos A, Fierro Arias L et al., Frecuencia de tumores en la piel cabelluda en el Servicio de Dermatooncología del Hospital General de México. Un análisis retrospectivo de los últimos 10 años, Dermatología Rev Mex 2010; 54(4):173-6.
Pankaj Kumar G, Anujdeep D et al., Malignant proliferating trichilemmal cyst: a case report with review of literature, Malaysian J Pathol 2009; 31(1):71-6.