Yusuf Doruk BİLGİLİ, Gülden TAŞOVA YILMAZ

Üst Ekstremite Yerleşimli Pilomatrikoma: Olgu Sunumu

Pilomatrikoma, genellikle baş ve boyun bölgesinde yerleşim gösteren iyi huylu bir deri tümörüdür. Genellikle izole bir lezyon olarak görülür ve nadiren malign seyreder. Bu yazıda sol kolunda pilomatrikoma saptanan 17 yaşındaki erkek olgu incelenmiştir. USG’de cilt altı yağlı dokuda lokalize düzgün sınırlı 15x8 mm boyutlu mm’lik kalsifik odaklar içeren hipoekoik solid lezyon izlenmiştir. Pilomatrikomanın kesin tanısı histopatolojik olarak konulur. Histopatolojik incelemede gölge ve hayalet hücrelerin görülmesi karakteristiktir. Baş, boyun ve ekstremitelerde cilt altı yüzeyel yerleşimli ağrısız kitle ile karşılaşıldığında pilomatrikoma ayırıcı tanıda değerlendirilmelidir. Cerrahi eksizyon tam kür sağlamaktadır ve nüks oranı düşüktü

Anahtar Kelimeler:

İyi huylu tümör, Pediatrik, Pilomatrikoma, Pilomatriksoma, Deri lezyonları

Pilomatricoma of the Upper Extremities: A Case Report

Pilomatricoma is a benign skin tumor, which is generally spotted in neck region along with the head. Isolated lesions are the usual detected. Malignant transformations are considered as seldom occurrences. A 17-year-old boy with a pilomatricoma on his left arm was presented as our case in this study. On ultrasonography, the hypoechoic solid lesion with calcification spots defined 15x8 mm sized, well-defined margins localized in the subcutaneous fatty tissue. Definitive diagnosis is made by histopathology. From histopathological point of view, shadow or ghost cells are characteristic. Pilomatricoma should be taken into consideration in the differential diagnosis of superficial or subcutaneous, painless masses of head, neck and extremities. Surgical excision is curative and the recurrent rate is low

Keywords:

benign tumor, pediatric, pilomatricoma, pilomatrixoma, skin lesions,

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1. Birman MV, McHugh JB, Hayden RJ, Jebson PJ. Pilomatrixoma of the forearm: A case report. Iowa Orthop J 2009;29:121-123.
2. 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):1337-1341.
3. Pirouzmanesh A, Reinisch JF, Gonzalez-Gomez I, Smith EM, Meara JG. Pilomatrixoma: A review of 346 cases. Plast Reconstr Surg 2003;112(7):1784-1789.
4. Schwarz Y, Pitaro J, Waissbluth S, Daniel SJ. Review of pediatric head and neck pilomatrixoma. Int J Pediatr Otorhinolaryngol. 2016;85:148-153.
5. Aydoğar BE, Kaçar H, Nepesov Mİ, Arık D, Dinleyici M, Kılıç Ö. Pediatric pilomatrixoma; A case report. Osmangazi Journal of Medicine 2020;42(1):110-113.
6. Marrogi AJ, Wick MR, Dehner LP. Pilomatrical neoplasms in children and young adults. Am J Dermatopathol 1992;14(2):87- 94.
7. Lemos LB, Brauchle RW. Pilomatrixoma: A diagnostic pitfall in fine-needle aspiration biopsies. A review from a small county hospital. Ann Diagn Pathol 2004;8(3):130-136.
8. Malherbe A, Chenantais J. Note sur l’epitheliome calcifie des glandes sebacees. Prog Med 1880;8:826-837.
9. Forbis R, Helwig EB. Pilomatrixoma (calcifying epithelioma). Arch Dematol 1961;83:606-617.
10. Moehlenbeck FW. Pilomatrixoma (calcifying epithelioma). A statistical study. Arch Dermatol 1973;108(4):532-534.
11. Bulut Y, Karadeniz C, Kurugöl Z, Koturoğlu G, Akşit S. An uncommon skin tumor: Pilomatricoma: Case report.Turkiye Klinikleri J Pediatr 2008;17(1):67-70.
12. Boyd AS, Martin RW 3rd. Pathologic quiz case 1. Pilomatricoma (calcified epithelioma of Malherbe) with secondary ossification. Arch Otolaryngol Head Neck Surg 1992;118(2):212-215.
13. Graham JL, Merwin CF. The tent sign of pilomatricoma. Cutis 1978;22(5):577-580.
14. 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 J Dermatol 2010;55(4):390-392.
15. Won S, Cho KJ, Ryu S, Seo JH, Lee JS, Park JJ. Evaluation of ultrasonography and CT for imaging of head and neck pilomatricoma in children and adolescents. Korean J Otorhinolaryngol-Head Neck Surg 2021;64(12):922-927.
16. Kato H, Kanematsu M, Watanabe H, Nagano A, Shu E, Seishima M, Miyazaki T. MR imaging findings of pilomatricomas: A radiological-pathological correlation. Acta Radiol 2016;57(6):726-732.
17. Ieni A, Todaro P, Bonanno A M, Catalano F, Catalano A, Tuccari G. Limits of fine-needle aspiration cytology in diagnosing pilomatrixoma: A series of 25 cases with clinicopathologic correlations. Indian J Dermatol 2012;57:152-155.
18. Acer E, Tad M, Erdoğan HK. Alt ekstremite yerleşimli pilomatrikoma. Dermatoz 2016;7.