Prolifere trikolemmal tümör

Amaç: Prolifere trikolemmal tümör kıl folikülünün dış kök kılıfından gelişen, nadir görülen bir tümördür. Özellikle skalpte ve yaşlı bayanlarda gözlenir. Skuamöz hücreli kanser ile sık sık karıştığı için ayırıcı tanısı iyi yapılması gerekmektedir. Olgu sunumu: Olgumuzda gözün lateralinde iyileşmeyen yara ile başvuran hastaya yapılan medikal tedaviye rağmen fayda görmemesi üzerine kitle eksizyonu yapıldı ve patoloji sonucu pilar tümör olarak rapor edildi. Sonuç: Bu olguda bu tümörün tanı, kliniği ve histolojik özellikleri tartışılmıştır.

Proliferating tricholemmal tumor

Objective: Proliferating trichilemmal tumor (PTT) is a rare but morphologically distinctive tumor that usually occurs in the scalp of elderly women. It may easily be confused with squamous cell carcinoma. For this reason these two tumors must properly be differentiated from each others. Case report: A 65-year-old man presented with left lateral of eye which was treated conservatively. The patient underwent excision of mass and it is reported that pylar tumor. Conclusion: Diagnostic, clinicoprognostic and histological features of this tumor are discussed.

PDF

___

1. Chan KO, Lim IJ, Baladas HG, Tan WTL: Multiple tumour presentation of trichilemmal carcinoma. Br J Plast Surg 1992;52:665-7.
2. Stephen J. Proliferating trichilemmal tumour with a malignant spindle cell component. J Cutan Pathol 2002;29:506-9.
3. Wilson Jones E. Proliferating epidermoid cysts. Arch Dermatol 1966;94:11-9.
4. Reed RJ, Lamar LM. Invasive hair matrix tumours of the scalp. Invasive pilomatrixoma. Arch Dermatol 1996;94:310-6.
5. Holmes EJ. Tumours of lower hair sheath. Common histogenesis of certain so-called sebaceous cysts, acanthomas and sebaceous carcinomas. Cancer 1968;21:234-48.
6. Dabska M. Giant hair matrix tumour. Cancer 1971;28:701-6.
7. Jaintz J, Wiedersberg H. Trichilemmal pilar tumours. Cancer 1980;45:1594-97.
8. Brownstein MH, Arluk DJ. Proliferating trichilemmal cyst: A simulant of squamous cell carcinoma. Cancer 1981;48:1207- 14.
9. Sau P, Graham JH, Helwig EB. Proliferating epithelial cysts: Clinicopathological analysis of 96 cases. J Cutan Pathol 1995;22:394-406.
10. Ye J, Nappi O, Swanson PE. Proliferating pilar tumours. A clinicopathologic study of 76 cases with a proposal for definition of bening and malignant variants. Am J Clin Pathol 2004;122:566-74.
11. Yamaguchi J, Irimajiri T, Ohara K. Proliferating trichilemmal cyst arising in the arm of a young woman. Dermatol 1994;189:90-2.
12. Noto G. Bening proliferating trichilemmal tumour does it really exist? Histopathol 1999;35:386-90.
13. Fernandez MT, Casalots A, Puig L, Llatjos R, Ferarandiz C, Ariza A. Proliferating trichilemmal tumour: p53 immunoreactivity in association with p27 over –expression indicates a low-grade carcinoma prolife. Histopathol 2001;38:454-7.
14. Motegi S, Tamura A, Endo Y, Kato G, Takahashı A, Negishi I, Ishıkawa O. Malignant proliferating trichilemmal tumour associated with HPV type 21 in epidermodysplasia verrucuformis: British Association of Dermatologist. Br J Dermatol 2003;148:171-92.
15. Yulia Gray MD, Lance M, Tıbbets MD. Pathologic quiz case. A nodule on the back. Pathologic diagnosis: proliferating trichilemmal tumor. Arch Pathol Lab Med 2000;124:1237-8.
16. Demirkesen C, Filizel F, İlvan Ş, Kaner G, Oruç N. Malignant proliferating tumour: Report of three cases. T Eur Acad Dermatology Venereol. Arch Pathol Lab Med 2000;124:177- 80.
17. Batman PA, Evans HJR. Metastasising pilar tumour of scalp. J Clin Pathol 1986:9;57.
18. Leppard BJ, Sanderson KV. The natural history of trichilemmal cysts. Br J Dermatol 1976;94:379-90.
19. Kim HJ, Kim TS, Lee KH. Proliferating trichilemmal tumours: CT and MR imaging findings in two cases, one with malignant transformation. Am J Neuroradiol 2001;22:180-3.
20. Shet T, Rege J, Naik L. Cytodiagnosis of simple and proliferating trichilemmal cysts. Acta Cytologica 2001;45:582-8.
21. Rao S, Ramakrishnan R, Kamakshi D. Malignant proliferating trichilemmal tumour presenting early in life: an uncommon feature. J Cutan Aesthetic Surg 2011;4:51-5.
22. Makhlouf Z, Verola O, Senejoux A, Duval A, Terris B. Proliferating trichilemmal tumour of the ischiorectal fossa. Ann Pathol 2011;31:316-9
23. Cavaleiro L, Viana F, Carneiro C. Proliferating trichilemmal tumor: Case report. An Bras Dermatol 2011;86:190-2
24. Harris T, Meyer E, Lubbe DE, Smit W, Walker C. Malignant proliferating trichilemmal tumor involving the sinuses. Ear Nose Throat J 2011;90:5-8