Korean J Dermatol.  2003 Mar;41(3):391-393.

A Case of Malignant Proliferating Trichilemmal Tumor

Affiliations
  • 1Department of Dermatology, College of Medicine, Chung-Ang University Seoul, Korea. drseo@hananet.net
  • 2Department of Pathology, College of Medicine, Chung-Ang University Seoul, Korea.

Abstract

Malignant proliferating trichilemmal tumor is a rare neoplasm derived from the outer root sheath of the hair follicle. We report a 64-year-old woman with nodular mass in her scalp of for 10 years. Despite surgical removal of the mass, the residual lesion grew with ulceration. In fine needle aspiration, malignant cells were detected. Histological examination of the skin lesion revealed a lobulated tumor exhibiting keratinization beneath the epidermis. In some area, cord of atypical cells infiltrating surrounding tissue, stromal desmoplasia, mitotic figures were seen. For treatment wide surgical excision and skin graft were done.

Keyword

Malignant proliferating trichilemmal tumor

MeSH Terms

Biopsy, Fine-Needle
Epidermis
Female
Hair Follicle
Humans
Middle Aged
Scalp
Skin
Transplants
Ulcer
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