J Korean Soc Plast Reconstr Surg.  2006 Jul;33(4):491-494.

A Case of Recurred Malignant Proliferating Trichilemmal Tumor of the Scalp

• Lee SB
• Lee WJ
• Tark KC
• Kim SH

Abstract

PURPOSE
To report the case of recurred malignant proliferating trichilemmal tumor on scalp
METHODS
Case report and literature review
RESULTS
A 40-year-old man presented with a recurred malignant proliferating trichilemmal tumor, which developed on the occipital area. It was 8 x 9 x 4.5 cm in size, protruded, firm and non-tender mass. This tumor was widely excised including normal skin margin and pericranium. Immediate reconstruction using free latissimus dorsi muscle flap and skin graft were done. Histopathologic examination revealed abrubt, compact trichilemmal keratinization in the central area of lobular epithelial proliferation.
CONCLUSION
There has been no recurrence of tumor during follow-up period of nine months without adjuvant chemotherapy or radiotherapy.

Keyword

Recurred malignant proliferating trichilemmal tumor; Scalp

MeSH Terms

Adult
Chemotherapy, Adjuvant
Follow-Up Studies
Humans
Radiotherapy
Recurrence
Scalp*
Skin
Superficial Back Muscles
Transplants