Atypical giant proliferating cystic pilomatrixoma: A case review
Pilomatrixoma, or calcifying epithelioma of Malherbe, is a rare and benign tumour. Typical presentation of pilomatrixoma is solitary, firm lesions found in the head and neck regions. Pilomatrixoma are often misdiagnosed due to their clinical presentation, which is synonymous with other cutaneous pat...
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SAGE Publishing
2025-02-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X251320195 |
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| author | Kerman Sekhon Yvette Miller-Monthrope Christian Murray Michael Weinberg |
| author_facet | Kerman Sekhon Yvette Miller-Monthrope Christian Murray Michael Weinberg |
| author_sort | Kerman Sekhon |
| collection | DOAJ |
| description | Pilomatrixoma, or calcifying epithelioma of Malherbe, is a rare and benign tumour. Typical presentation of pilomatrixoma is solitary, firm lesions found in the head and neck regions. Pilomatrixoma are often misdiagnosed due to their clinical presentation, which is synonymous with other cutaneous pathology. The reported and true incidence of pilomatrixoma are 1% and 16%, respectively. Cystic pilomatrixoma is a unique variant that presents without the pathognomonic feature of a firm lesion. This study presents the case of a 52-year-old man with a post-auricular pilomatrixoma. It is erythematous, soft, mobile, and 4 cm in diameter. Its size categorizes the lesion as a giant pilomatrixoma. These pilomatrixoma pose a diagnostic challenge as they mimic malignant lesions. It was highly erythematous and mimicked Merkel cell carcinoma in on initial presentation. It was a sebum-filled lesion, which is quite atypical for pilomatrixoma. A previous study finds that only three cases of cystic pilomatrixoma have been reported in the literature previously. This case study presents the case of an atypical variant of a rare tumour. There is a paucity in the literature on cystic pilomatrixoma. Giant proliferating cystic pilomatrixoma has not previously been described in a case report in the literature, as to our knowledge. This study highlights the diversity in the clinical presentations of pilomatrixoma to improve our clinical sensitivity to pilomatrixoma. |
| format | Article |
| id | doaj-art-fae0044e12154afe89b1c8c19650fcbe |
| institution | DOAJ |
| issn | 2050-313X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj-art-fae0044e12154afe89b1c8c19650fcbe2025-08-20T02:45:45ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-02-011310.1177/2050313X251320195Atypical giant proliferating cystic pilomatrixoma: A case reviewKerman Sekhon0Yvette Miller-Monthrope1Christian Murray2Michael Weinberg3Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaDermatology Division, Department of Medicine, Women’s College Hospital, Toronto, ON, CanadaDermatology Division, Department of Medicine, Women’s College Hospital, Toronto, ON, CanadaPlastic Surgery Division, Department of Surgery, Trillium Health Centre, Mississauga, ON, CanadaPilomatrixoma, or calcifying epithelioma of Malherbe, is a rare and benign tumour. Typical presentation of pilomatrixoma is solitary, firm lesions found in the head and neck regions. Pilomatrixoma are often misdiagnosed due to their clinical presentation, which is synonymous with other cutaneous pathology. The reported and true incidence of pilomatrixoma are 1% and 16%, respectively. Cystic pilomatrixoma is a unique variant that presents without the pathognomonic feature of a firm lesion. This study presents the case of a 52-year-old man with a post-auricular pilomatrixoma. It is erythematous, soft, mobile, and 4 cm in diameter. Its size categorizes the lesion as a giant pilomatrixoma. These pilomatrixoma pose a diagnostic challenge as they mimic malignant lesions. It was highly erythematous and mimicked Merkel cell carcinoma in on initial presentation. It was a sebum-filled lesion, which is quite atypical for pilomatrixoma. A previous study finds that only three cases of cystic pilomatrixoma have been reported in the literature previously. This case study presents the case of an atypical variant of a rare tumour. There is a paucity in the literature on cystic pilomatrixoma. Giant proliferating cystic pilomatrixoma has not previously been described in a case report in the literature, as to our knowledge. This study highlights the diversity in the clinical presentations of pilomatrixoma to improve our clinical sensitivity to pilomatrixoma.https://doi.org/10.1177/2050313X251320195 |
| spellingShingle | Kerman Sekhon Yvette Miller-Monthrope Christian Murray Michael Weinberg Atypical giant proliferating cystic pilomatrixoma: A case review SAGE Open Medical Case Reports |
| title | Atypical giant proliferating cystic pilomatrixoma: A case review |
| title_full | Atypical giant proliferating cystic pilomatrixoma: A case review |
| title_fullStr | Atypical giant proliferating cystic pilomatrixoma: A case review |
| title_full_unstemmed | Atypical giant proliferating cystic pilomatrixoma: A case review |
| title_short | Atypical giant proliferating cystic pilomatrixoma: A case review |
| title_sort | atypical giant proliferating cystic pilomatrixoma a case review |
| url | https://doi.org/10.1177/2050313X251320195 |
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