Korean J Otorhinolaryngol-Head Neck Surg.  2015 May;58(5):348-350. 10.3342/kjorl-hns.2015.58.5.348.

A Case of Trichilemmal Cyst Invading Submandibular Gland

Affiliations
  • 1Department of Otorhinolaryngology Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. jhchomd@catholic.ac.kr

Abstract

A trichilemmal cyst is a skin adnexal tumor that usually occurs on the scalps of elderly women. We report a trichilemmal cyst in the submandibular area of a 16-year-old male, masquerading as a second branchial cleft cyst. During surgery, the mass was found to have invaded the submandibular gland and needed to be excised totally in continuity with the submandibular gland. To our knowledge, this is the first reported case of a trichilemmal cyst involving the submandibular gland. Although rare, a trichilemmal cyst may be considered in the differential diagnosis of cystic lesions in the submandibular area. It should also be differentiated from other cystic malignant tumors for its tendency to invade the surrounding structure.

Keyword

Branchial cleft cyst; Submandibular gland; Trichilemmal cyst

MeSH Terms

Adolescent
Aged
Branchioma
Diagnosis, Differential
Female
Humans
Male
Scalp
Skin
Submandibular Gland*
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