A Case of Recurred Malignant Proliferating Trichilemmal Tumor of the Scalp.

Lee, Sae Bin; Lee, Won Jai; Tark, Kwan Chul; Kim, Se Hoon

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):491-494.
Published online July 1, 2006.

A Case of Recurred Malignant Proliferating Trichilemmal Tumor of the Scalp.

Sae Bin Lee, Won Jai Lee, Kwan Chul Tark, Se Hoon Kim

¹Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea. pswjlee@ yumc.yonsei.ac.kr
²Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

PURPOSE
To report the case of recurred malignant proliferating trichilemmal tumor on scalp METHODS: Case report and literature review
RESULTS
A 40-year-old man presented with a recurred malignant proliferating trichilemmal tumor, which developed on the occipital area. It was 8 x 9 x 4.5 cm in size, protruded, firm and non-tender mass. This tumor was widely excised including normal skin margin and pericranium. Immediate reconstruction using free latissimus dorsi muscle flap and skin graft were done. Histopathologic examination revealed abrubt, compact trichilemmal keratinization in the central area of lobular epithelial proliferation.
CONCLUSION
There has been no recurrence of tumor during follow-up period of nine months without adjuvant chemotherapy or radiotherapy.

Keywords: Recurred malignant proliferating trichilemmal tumor; Scalp