Korean J Intern Med.
2001 Mar;16(1):40-43.
A Case of Malignant Proliferating Trichilemmoma of the Scalp with Multiple Metastases
- Affiliations
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- 1Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
- 2Department of Clinical Pathology, Soonchunhyang University College of Medicine, Seoul, Korea.
Abstract
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We report a case of malignant proliferating trichilemmal tumor showing multiple distant metastases. The patient demonstrated a round mass in the right occipital area for 12 months and the lesion grew rapidly to assume 8x6.5x4cm in diameter, with areas of superficial erosion and crusting within the recent 3 months. The entire lesion was removed with a wide surgical excision. It recurred on the neck area 4 months after excision and the lesion was removed with surgical resection again. There was evidence of multiple metastases on CNS and mediastinal lymph nodes after 6 months. The patient was treated with cisplatin and etoposide combination chemotherapy and a partial response was achieved.