Pilomatricoma of the Neck Misdiagnosed as Sebaceous Cyst

Authors

  • Boon Chye Gan Department of Otorhinolaryngology – Head & Neck Surgery, Hospital Duchess of Kent, KM 3.2, Jalan Utara, 90000, Sandakan, Sabah, Malaysia.
  • Faridah Mohd Taib Department of Pathology, Hospital Seberang Jaya, 13700 Perai, Pulau Pinang, Malaysia.
  • Jamal Sazly Department of Otorhinolaryngology – Head & Neck Surgery, Hospital Bukit Mertajam, Jalan Kulim, 14000 Bukit Mertajam, Pulau Pinang, Malaysia.
  • Haslinda Md Taha Department of Otorhinolaryngology – Head & Neck Surgery, Hospital Bukit Mertajam, Jalan Kulim, 14000 Bukit Mertajam, Pulau Pinang, Malaysia.

Abstract

Pillomatricoma is a benign skin lesion originating from the hair follicle matrix. Most cases are usually only diagnosed post-operatively through histopathological examination (HPE) mainly because of the nature and presentation that resemble benign and superficial skin lesion, hence, the misdiagnosis prior to surgery. In this case report, we would like to highlight this condition and its important characteristics which appear to be under-reported due to lack of awareness among clinicians.

Author Biography

Boon Chye Gan, Department of Otorhinolaryngology – Head & Neck Surgery, Hospital Duchess of Kent, KM 3.2, Jalan Utara, 90000, Sandakan, Sabah, Malaysia.

Head of Department

References

Forbis R, Helwig EB. Pilomatrixoma (Calcifying Epithelioma). Arch Dermatol. 1961;83(4):606–18.

Guinot-Moya R, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. Pilomatrixoma. Review of 205 cases. Med Oral Patol Oral Cir Bucal. 2011;16(4):552-5.

Lan MY, Lan MC, Ho CY, Li WY, Lin CZ. Pilomatricoma of the head and neck: a retrospective review of 179 cases. Arch Otolaryngol Head Neck Surg. 2003;129(12):1327-30.

Pant I, Joshi SC, Kaur G, Kumar G. Pilomatricoma as a diagnostic pitfall in clinical practice: report of two cases and review of literature. Indian Journal of Dermatology. 2010;55(4):390-2.

Graham JL, Merwin CF. The tent sign of pilomatricoma. Cutis. 1978;22:577–80.

Danielson-Cohen A, Lin SJ, Hughes CA, An YH, Maddalozzo J. Head and neck pilomatrixoma in children. Arch Otolaryngol Head Neck Surg. 2001;127(12):1481-3.

Kwon D, Grekov K, Krishnan M, Dyleski R. Characteristics of pilomatrixoma in children: A review of 137 patients. Int J Pediatr Otorhinolaryngol. 2014;78(8):1337-41.

Julian CG, Bowers PW. A clinical review of 209 pilomatricomas. J Am Acad Dermatol. 1998;39:191–5.

Agarwal RP, Handler SD, Matthews MR, Carpentieri D. Pilomatrixoma of the head and neck in children. Otolaryngol Head Neck Surg. 2001;125:510–5.

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Published

11.06.2020

Issue

Vol. 31 No. 3 (2020): Gazi Medical Journal

Section

Case Report