Unusual Invasion of Trichilemmal Umors: Two Case Reports

DOI: 10.4236/mps.2012.23014   PDF   HTML   XML   3,091 Downloads   5,333 Views   Citations

Abstract

Background: Proliferating trichilemmal tumors are slow-growing lobulated masses most commonly found on the scalp of elderly women. Due to the locally invasive nature of the lesion, the treatment is complete excision of the tumor with tumor-free margins. Methods: We present two cases of trichilemmal tumors that exhibited aggressive local invasion across tissue planes. The first case had dural invasion, which needed dural reconstruction. The second case had muscle invasion, which required wide resection. Results: Sixteen months after their surgeries, the patients are in good health without any recurrence of tumors. Conclusion: Trichilemmal tumors may exhibit aggressive local invasion across tissue planes and even penetrate intracranially, causing considerable morbidity and mortality. The possibility of dural and muscle invasion must be kept in mind in order to achieve successful treatment results. A close clinical follow-up is judicious for detecting recurrences or metastases.

Share and Cite:

M. Karamese, A. Akatekin, M. Abaci, Z. Tosun and M. Keskin, "Unusual Invasion of Trichilemmal Umors: Two Case Reports," Modern Plastic Surgery, Vol. 2 No. 3, 2012, pp. 54-57. doi: 10.4236/mps.2012.23014.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] H. S. Yi, S. J. Sym, J. Park, et al., “Recurrent and Metastatic Trichilemmal Carcinoma of the Skin over the Thigh: A Case Report,” Cancer Research and Treatment, Vol. 42, No. 3, 2010, pp. 176-179. doi:10.4143/crt.2010.42.3.176
[2] A. K. Satyaprakash, D. J. Sheehan and O. P. Sangüeza, “Proliferating Trichilemmal Tumors; A Review of the Literature,” Dermatologic Surgery, Vol. 33, No. 9, 2007, pp. 1102-1108. doi:10.1111/j.1524-4725.2007.33225.x
[3] J. H. Lee, Y. W. Shin, Y. H. Oh, et al., “Trichilemmal Carcinoma of the Upper Eyelid: A Case Report,” Korean Journal of Ophthalmology, Vol. 23, No. 4, 2009, pp. 301-305. doi:10.3341/kjo.2009.23.4.301
[4] J. Ye, O. Nappi, P. E. Swanson, et al., “Proliferating Pilar Tumors. A Clinicopathologic Study of 76 Cases with a Proposal for Definition of Benign and Malignant Variants,” American Journal of Clinical Pathology, Vol. 122, 2004, pp. 566-574. doi:10.1309/0XLEGFQ64XYJU4G6
[5] O. Makiese, et al., “Huge Proliferating Trichilemmal Tumors of the Scalp: Report of Sixcases,” Plastic and Reconstructive Surgery, Vol. 126, No. 1, 2010, pp. 18e-9e. doi:10.1097/PRS.0b013e3181dbc48e
[6] S. B. Bae, et al., “A Case of Malignant Proliferating Trichilemmoma of the Scalp with Multiple Metastases,” Korean Journal of Internal Medicine, Vol. 16, No. 1, 2001, pp. 40-43.
[7] Y. Komuro, T. Takedai and K. Tagawa, “Proliferating Trichilemmal Tumor on the Dorsum of the Hand,” Annals of Plastic Surgery, Vol. 34, No. 6, 1995, pp. 657-659. doi:10.1097/00000637-199506000-00017
[8] M. Siddha, et al., “Malignant Pilar Tumor of the Scalp: A Case Report and Review of Literature,” Journal of Cancer Research and Therapeutics, Vol. 3, No. 4, 2007, pp. 240-243. doi:10.4103/0973-1482.39001

  
comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.