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4 Cases of Head and Neck Philomatricoma  

Chung Phil-Sang (Department of Otolaryngology-Head and Neck Surgery, Dankook University, Callege of Medicine)
Woo Seung-Houn (Department of Otolaryngology-Head and Neck Surgery, Dankook University, Callege of Medicine)
Lee Sang-Hun (Department of Otolaryngology-Head and Neck Surgery, Dankook University, Callege of Medicine)
Myong Na-Hye (Department of Pathology, Dankook University, Callege of Medicine)
Lee Sang-Joon (Department of Otolaryngology-Head and Neck Surgery, Dankook University, Callege of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.20, no.1, 2004 , pp. 62-66 More about this Journal
Abstract
Pilomatricoma is a benign neoplasm of the hair follicle origin which most common occur in the head and neck, particularly in the cheek and preauricular region. This neoplasm is superficially located and stony, hard consistency on palpation and sometimes shows reddish or bluish discoloration on the overlying skin. The diagnosis is confirmed by histopathologic examination. Radiologic evaluation is little diagnostic and fine needle aspiration biopsy often misdiagnose because both tissues from basaloid cell component and shadow cell component should be obtained for correct diagnosis. And Otolaryngologist should consider the possibility of philomatricoma when childhood or early adulthood persion visits with hard, supferficial mass on the parotid or cheek area. The treatment of choice is surgical excision with clear resection margin. In many instances, overlying skin excision is needed. We report 4 cases of philomatricoma arising from preauricular, cheek and posterior neck.
Keywords
Pilomatricoma; Head and neck;
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