대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제19권4호
  • /
  • Pages.283-286
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  • 2018
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Malignant pilomatricoma of the cheek in an infant

  • Kim, Yang Seok (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital) ;
  • Na, Young Cheon (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital) ;
  • Huh, Woo Hoe (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital) ;
  • Kim, Ji Min (Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital)
  • 투고 : 2018.09.11
  • 심사 : 2018.11.02
  • 발행 : 2018.12.20
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초록

Malignant pilomatricoma (pilomatrical carcinoma) is a rare, locally occurring malignant tumor with a high rate of recurrence in the case of incomplete excision. This tumor has two characteristics. First, recurrences of pilomatrical carcinoma are common; second, distant metastasis is rare, but if it occurs, it is very fatal. It has characteristic features of high mitotic counts, cellular atypia, and local invasion. Although fine needle aspiration and excisional biopsy could help to confirm this tumor diagnosis, pathologic findings are critical. Pilomatricomas have some characteristic features in histological aspect, such as epithelial islands of basaloid cells and shadow cells or ghost cell. Also, various types of immunohistochemical staining are used to confirm the diagnosis. Despite the lack of clear surgical criteria, treatment is a wide local excision with histologically clear resection margins with or without adjuvant radiotherapy.

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참고문헌

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