A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor

Proliferating trichilemmal tumors (PTTs) are neoplasms derived from the outer root sheath of the hair follicle. These tumors, which commonly affect the scalp of elderly women, rarely demonstrate malignant transformation. Although invasion of the tumors into neighboring tissues and being accompanied...

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Main Authors: Omer Alici, Musa Kemal Keles, Alper Kurt
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2015/742920
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author Omer Alici
Musa Kemal Keles
Alper Kurt
author_facet Omer Alici
Musa Kemal Keles
Alper Kurt
author_sort Omer Alici
collection DOAJ
description Proliferating trichilemmal tumors (PTTs) are neoplasms derived from the outer root sheath of the hair follicle. These tumors, which commonly affect the scalp of elderly women, rarely demonstrate malignant transformation. Although invasion of the tumors into neighboring tissues and being accompanied with anaplasia and necrosis are accepted as findings of malignancy, histological features may not always be sufficient to identify these tumors. The clinical behavior of the tumor may be incompatible with its histological characteristics. Squamous-cell carcinoma should certainly be considered in differential diagnosis because of its similarity in morphological appearance with PTT. Immunostaining for CD34, P53, and Ki-67 is a useful adjuvant diagnostic method that can be used in differential diagnosis aside from morphological findings. In this study, we aimed to present the case of a 52-year-old female patient with clinicopathological features. We reported a low-grade malignant proliferating trichilemmal tumor in this patient and detected no relapse or metastasis in a 24-month period of follow-up.
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spelling doaj-art-2ab40c8e368744488090fe08cd73bced2025-08-20T03:54:42ZengWileyCase Reports in Medicine1687-96271687-96352015-01-01201510.1155/2015/742920742920A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal TumorOmer Alici0Musa Kemal Keles1Alper Kurt2Department of Pathology, Medical School, Gaziosmanpasa University, 60300 Tokat, TurkeyDepartment of Plastic and Reconstructive Surgery, Medical School, Ondokuz Mayıs University, 55270 Samsun, TurkeyDepartment of Plastic and Reconstructive Surgery, Samsun Training and Research Hospital, 55100 Samsun, TurkeyProliferating trichilemmal tumors (PTTs) are neoplasms derived from the outer root sheath of the hair follicle. These tumors, which commonly affect the scalp of elderly women, rarely demonstrate malignant transformation. Although invasion of the tumors into neighboring tissues and being accompanied with anaplasia and necrosis are accepted as findings of malignancy, histological features may not always be sufficient to identify these tumors. The clinical behavior of the tumor may be incompatible with its histological characteristics. Squamous-cell carcinoma should certainly be considered in differential diagnosis because of its similarity in morphological appearance with PTT. Immunostaining for CD34, P53, and Ki-67 is a useful adjuvant diagnostic method that can be used in differential diagnosis aside from morphological findings. In this study, we aimed to present the case of a 52-year-old female patient with clinicopathological features. We reported a low-grade malignant proliferating trichilemmal tumor in this patient and detected no relapse or metastasis in a 24-month period of follow-up.http://dx.doi.org/10.1155/2015/742920
spellingShingle Omer Alici
Musa Kemal Keles
Alper Kurt
A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
Case Reports in Medicine
title A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
title_full A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
title_fullStr A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
title_full_unstemmed A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
title_short A Rare Cutaneous Adnexal Tumor: Malignant Proliferating Trichilemmal Tumor
title_sort rare cutaneous adnexal tumor malignant proliferating trichilemmal tumor
url http://dx.doi.org/10.1155/2015/742920
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