Pilomatrixoma Mimicking Parotid Gland Tumor - Report of 2 Cases -

이하선 종양으로 오인된 모기질종 2예

  • Lim, Sung-Ju (Department of Surgery, Yonsei University College of Medicine) ;
  • Lim, Chi-Young (Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Jan-Dee (Department of Surgery, Yonsei University College of Medicine) ;
  • Yun, Ji-Sup (Department of Surgery, Yonsei University College of Medicine) ;
  • Nam, Kee-Hyun (Department of Surgery, Yonsei University College of Medicine) ;
  • Chang, Hang-Seok (Department of Surgery, Yonsei University College of Medicine) ;
  • Chung, Woong-Youn (Department of Surgery, Yonsei University College of Medicine) ;
  • Hong, Soon-Won (Department of Pathology, Yonsei University College of Medicine) ;
  • Park, Cheong-Soo (Department of Surgery, Yonsei University College of Medicine)
  • 임성주 (연세대학교 의과대학 외과학교실) ;
  • 임치영 (연세대학교 의과대학 외과학교실) ;
  • 이잔디 (연세대학교 의과대학 외과학교실) ;
  • 윤지섭 (연세대학교 의과대학 외과학교실) ;
  • 남기현 (연세대학교 의과대학 외과학교실) ;
  • 장항석 (연세대학교 의과대학 외과학교실) ;
  • 정웅윤 (연세대학교 의과대학 외과학교실) ;
  • 홍순원 (연세대학교 의과대학 병리학교실) ;
  • 박정수 (연세대학교 의과대학 외과학교실)
  • Published : 2006.11.30

Abstract

Pilomatrixoma is an uncommon tumor arising from hair follicles. Commonly occur in children and most frequently in the head and neck region. It can be mistaken for parotid gland tumor, dermoid cyst, or epidermoid cyst, especially when large lesions develop over the periauricular area, difficulty discerning them from lesion developing within the superficial lobe of the parotid gland may occur. We experienced two cases of pilomatrixomas mimicking parotid gland tumor. Although their histologic appearance is characteristic, they may be clinically misdiagnosed. However, combining clinical information with the distinct histologic features should lead to the correct diagnosis.

Keywords

References

  1. Malherbe A, Chenantais J: Note Sur I'epithéliom calcife des glandes sebacees. Prog Med. 1986;8:826-837
  2. Forbis R, Helwig EB: Pilomatrixoma (calcifying epitheioma ). Arch Dermatol. 1961;83:606-617 https://doi.org/10.1001/archderm.1961.01580100070009
  3. Singh B, Tolete-Velck F, Alexis R: Pathological case of the month (pilomatrixoma ). Arch Pediatr Adolesc Med. 1995;149:551-552 https://doi.org/10.1001/archpedi.1995.02170180081015
  4. Lever WF, Schaumburg-Lever G: Pilomatricoma (calcifying epithelioma ). In: Lever WF, Schaumburg-Lever G, eds. Histopathology of the skin. Philadelphia: JB Lippincott, 1983:530-532
  5. McCulloch TA, Singh S, Cotton DWK: Pilomatrix carcinoma and multiple pilomatrixomas. Br J Dermatol. 1996;134:368-371 https://doi.org/10.1111/j.1365-2133.1996.tb07632.x
  6. Makek M, Franklin DJ, Fisch U: Preauricular pilomatrixoma: A diagnostic pitfall. Oral Surg Oral Med Patho. 1989;68:451-454 https://doi.org/10.1016/0030-4220(89)90144-8
  7. Brander MB, Bunkis J: Pilomatrixoma presenting as a parotid mass. Plast Recontr Surg. 1986;78:518-535 https://doi.org/10.1097/00006534-198610000-00016
  8. McBrien M, Victor T, Wolff AP: Pathologic diagnosis: pilomatrixoma. Arch Otolaryngol Head Neck Surg. 1988;114:1042-1045 https://doi.org/10.1001/archotol.1988.01860210108030
  9. Boyd AS, Martin RW III: Pilomatricoma (calcified epithelioma of Malherbe ) with secondary ossification. Arch Otolaryngol Head Neck Surg. 1992;118:212-215 https://doi.org/10.1001/archotol.1992.01880020120026
  10. Lever WF, Griesemer RD: Caldifying epithelioma of Malherbe. Arch Dermatol. 1949;59:505-518
  11. Moehlenbeck FW: Pilomatrixoma (calcifying epithelioma ): A statistical study. Arch Dermatol. 1973;108:532-534 https://doi.org/10.1001/archderm.108.4.532
  12. Hawkins DB, Chen WT: Pilomatrixoma of the head and neck in children. Int J Pediatr Otorhinolaryngol. 1985;8:215-223 https://doi.org/10.1016/S0165-5876(85)80082-3
  13. Duflo S, Nicollas R, Roman S, Magalon G, Triglia JM: Pilomatrixoma of the head and neck in children. Arch Otolaryngol Head Neck Surg. 1998;124:1239-1242 https://doi.org/10.1001/archotol.124.11.1239
  14. Urvoy M, Legall F, Toulemont PJ, Chevrant-Breton J: Pilomatricomes multiples. J Fr Ophtalmol. 1996;19:464-466
  15. Fink AM, Berkowithz RG: Sonography in preauricular pilomatrixoma of childhood.Ann Otol Rhinol Laryngol. 1997;106:167-169 https://doi.org/10.1177/000348949710600214
  16. Toback JM, Hoover LA, Dudley JP: Pilomatrixoma of the head and neck. Head Neck Surg. 1984;7:81-84 https://doi.org/10.1002/hed.2890070114
  17. Orlando RG, Rogers GL, Bremer DL: Pilomatricoma in a pediatric hospital. Arch Ophthalmol. 1983;101:1209-1210 https://doi.org/10.1001/archopht.1983.01040020211008
  18. Krausen AS, Ansel DG, Mays Jr BR: Pilomatrixoma masquerading as a parotic mass. Laryngoscope. 1974;84:528-532 https://doi.org/10.1288/00005537-197404000-00003
  19. Sasaki CT, YUe A, Enriques R: Giant calcifying epithelioma Arch Otolaryngol. 1976;102:753-755 https://doi.org/10.1001/archotol.1976.00780170071012