Türk Bilge BİLEN, Hıdır KILINÇ, Serkan ASLAN, Neşe KARADAĞ

Malign proliferatif trikilemmal tümör: Olgu sunumu

Proliferatif trikilemmal tümör (veya kist), saç folliküllerinden kaynaklanan nadir bir cilt lezyonudur. Genellikle yaşlı kadınların saçlı derisinde soliter nodül olarak artaya çıkar. Bu lezyonlar genellikle benign olmasına rağmen birkaç malign proliferatif trikilemmal tümör vakası, lokal rekürrens ve metastaz rapor edilmiştir. Biz, saçlı derisinde üzeri ülsere multipl proliferatif trikilemmal kistleri olan 57 yaşındaki bir hastayı sunuyoruz. Kitlelerin eksizyonel biyopsisi yapıldı ve histopatolojik bulgular malign proliferatif trikilemmal tümör olduğunu gösterdi. Cerrahi sınırda tümör pozitif olduğu için re-eksizyon yapıldı, oluşan defekt deri grefti ile onarıldı.

Malignant proliferating trichilemmal tumor: Case report

Proliferating trichilemmal tumor (or cyst) is an uncommon skin lesion arising from the hair follicle. It usuallay occurs as a solitary nodule on the scalp of older women. Although these lesions are generally benign, a few cases of malignant proliferating trichilemmal tumors, local recurrences and metastasis have been reported. We present a 57 year old patient who had multiple proliferative trichilemmal cysts with overlying skin ulceration on her scalp. Excisional biopsy of the masses was performed and the histopathological findings showed that it was a malignant proliferating trichilemmal tumor. Because of the surgical margin of the specimen was not free of tumor, re-excision was performed and remaining defect was repaired with skin graft.

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