Korean J Cytopathol.
1997 Dec;8(2):160-163.
Fine Needle Aspiration Cytologic Findings of Proliferating Trichilemmal Tumor
- Affiliations
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- 1Department of Clinical Pathology, Catholic University Medical College.
Abstract
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The cytologic finding of proliferating trichilemmal tumor is not well documented
and have difficulties in the cytological analysis of the fine needle aspirates. This rare
dermatopathologic entity may be encountered during aspiration biopsy of subcutaneous masses, and is, occasionally, confused with other neoplasm, particulary
squamous carcinoma owing to its close cytological resemblance.
We report a case of proliferating trichilemmal tumor in the left breast. The patient
is a woman and had a lump in the breast for 20 years. Fine needle aspiration
revealed a few small clusters of squamoid cells in the background of amorphous
and calcified material. After excisional biopsy, the mass was confirmed as
proliferating trichilemmal tumor. The main cytologic features discriminating squamous
cell carcinoma were bland nature of epithelial cells, absence of atypical dyskeratotic
cells, and rich amount of amorphous material.