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Proliferating trichilemmal cyst


FieldValue
nameProliferating trichilemmal cyst
synonymsPilar tumor, proliferating follicular cystic neoplasm, proliferating pilar tumor, and proliferating trichilemmal tumor
imageSkinTumors-P8240657.JPG
captionProliferating tricholemmal (pilar) cyst
fieldDermatology

Proliferating trichilemmal cysts (also known as a pilar tumor, proliferating follicular cystic neoplasm, proliferating pilar tumor, and proliferating trichilemmal tumor) is a cutaneous condition, characterized by proliferations of squamous cells forming scroll-like structures.

Signs and symptoms

The tumors, which are typically found in regions like the scalp with a high density of hair follicles, can be solid or solid cystic. Proliferating trichilemmal cyst frequently manifests clinically as a subcutaneous nodule that gradually grows into a big nodular mass. Rapid growth in some cases may be a sign of malignant development into cancer.

Diagnosis

Histologically, Proliferating trichilemmal cysts are distinguished by trichilemmal keratinization, which is the sudden change from nucleated epithelium to anucleated keratinized cells without a granular layer. The differential diagnosis include trichilemmal cyst and Turban tumor.

Treatment

Surgical excision is the treatment of choice for proliferating trichilemmal cysts.

Epidemiology

Proliferating trichilemmal cysts make up 0.1% of all skin tumors. Most patients with these tumors are older women, and 90% of patients with these lesions appear on the scalp.

References

References

  1. Rapini, Ronald P.. (2007). "Dermatology: 2-Volume Set". Mosby.
  2. James, William D.. (2006). "Andrews' Diseases of the Skin: Clinical Dermatology". Saunders Elsevier.
  3. (2019). "Proliferating trichilemmal cyst with clinical, radiological, macroscopic, and microscopic correlation". FapUNIFESP (SciELO).
  4. (2006-03-01). "Proliferating Trichilemmal Cysts of the Scalp on CT". American Journal of Neuroradiology.
  5. (2016). "Atypical Proliferating Trichilemmal Cyst with Malignant Breast Skin Transformation: A Case Report and Review of the Literature". Hindawi Limited.
  6. (2014). "Malignant proliferating trichilemmal tumor: A case report and review of literature". Journal of Cancer Research and Therapeutics.
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