Pilomatrix Carcinoma With Lymph Node and Pulmonary Metastasis

Aranda, María Victoria de Gálvez; Herrera‐Ceballos, Enrique; Sánchez-Sánchez, Purificación; Bosch-García, Ricardo Juan; Matilla-Vicente, Alfredo

doi:10.1097/00000372-200204000-00006

Cited by 48 publications

(30 citation statements)

References 35 publications

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“…Gould et al [5] 1984 Lungs Mir et al [23] 1986 Lungs and axillary lymph nodes Tateyama et al [36] 1992 Inguinal lymph nodes O'Donovan et al [28] 1993 Superior pubic ramus Hanly et al [8] 1994 Lungs Mack et al [15] 1994 Lungs and inguinal lymph nodes Monchy et al [25] 1995 Submandibular lymph nodes Niedermeyer et al [27] 1996 Lungs and brain Li et al [13] 1997 Liver Bremnes et al [2] 1999 Cervical lymph nodes, lungs and thoracic spine De Galvez-Aranda et al [3] 2002 Lungs and inguinal lymph nodes Stern et al [35] 2004 Axillary lymph nodes Current case 2006 Lungs and inguinal, cervical and paraaortic lymph nodes 5 months later, the patient presented with a fast-growing local relapse on the primary tumor site at the right upper shank. MRI of the area showed a 2.2 cm × 2.1 cm × 2.5 cm large tumor, which displaced the vascular structures but did not infiltrate muscles or bones ( Figure 3).…”

Section: Distant Metastases Sitementioning

confidence: 99%

Pilomatrix Carcinoma with Lymph Node and Pulmonary Metastases

Tselis

Heyd²,

Vogt³

et al. 2006

Strahlenther Onkol

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Section: Distant Metastases Sitementioning

confidence: 99%

Pilomatrix Carcinoma with Lymph Node and Pulmonary Metastases

Tselis

Heyd²,

Vogt³

et al. 2006

Strahlenther Onkol

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“…Radiation therapy, which is not the first-line treatment, is sometimes used before surgery, after surgery or palliative purposes (to be analgesic in secondary locations such as spinal) [13]. Chemotherapy has not been proven effective but it can be used in case of metastases [10,11,14,15]. In our case, sagittal sinus was invaded in 1 cm.…”

Section: Case Reportmentioning

confidence: 76%

“…General staging should include palpation of lymph nodes and a cervico-thoraco-abdominal scanner to search for lung and liver metastases. A brain and bone scan should be performed only when there are warning signs [9][10][11].Treatment consists of a surgical excision with wide margins (2-3 cm) because of high recurrence rate after simple …”

Section: Discussionmentioning

confidence: 99%

Pilomatrix Carcinoma: A Case Report

Eluecque¹

2014

J Clin Exp Dermatol Res

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Pilomatrix carcinoma is a rare malignant tumor. It is usually reported in patients over 50 years. Nowadays, there is no standardized treatment while a high risk of recurrence after simple surgery was frequently observed. We report one case of a pilomatrix carcinoma in a 15 years old patient. In spite of a surgery with wide margins, she presented a local recurrence on the head and a lung metastasis. She had undergone a second surgery with additional radiotherapy and chemotherapy. She is now in remission.

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“…The differential histological diagnosis is necessary to exclude other tumors derived from hair follicles, including proliferating pilar cysts, basal cell carcinoma with metrical differentiation, pilomatrixoma, trichoepithelioma, squamous cell carcinoma, lymphoepithelioma-like carcinoma of the skin and mixed tumors of the skin (13,14). A proliferating trichilemmal cyst comprises lobules or sheets of squamous nests with trichilemmal keratinization, however, ghost cells or basaloid cells are absent in these lesions (14).…”

Section: Discussionmentioning

confidence: 99%

Pilomatrix carcinoma on the left side of the parotid region: A case report and review of the literature

Liu

Li²,

Fan

et al. 2015

Oncology Letters

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Abstract. Pilomatrix carcinoma (PC) is a rare neoplasm, particularly in the parotid region. Thus, it is easily misdiagnosed and an optimal treatment regimen has not yet been established. The present study reports the case of a 43-year-old female who presented with a PC of the parotid region and reviews the associated published literature. The patient underwent three surgical excisions prior to the tumor being completely removed, and was misdiagnosed four times prior to the correct diagnosis. Once the tumor was completely removed, the patient received radiation therapy (RT). At the 2-year follow-up, the patient remained free of local recurrence and metastasis. To the best of our knowledge, only 3 cases of PC on the parotid region have been reported. Although an optimal treatment regimen has not been established, surgery with wide margins is recommended, with RT and chemotherapy producing mixed results. IntroductionPilomatrix carcinoma (PC) is a rare and malignant adnexal tumor of hair matrix origin (1). The tumor is a dermo-hypodermic in nature, with a low metastatic potential, but a high risk of recurrence following excision. PC is characterized by a locally-aggressive and low-potential malignant lesion, which is likely to be misdiagnosed. However, distant metastasis and mortality have also been reported (2). To highlight a further case of this extremely rare occurrence, the present study reports a case of PC of the parotid region that was misdiagnosed numerous times, and reviews the pertinent literature. Case reportA 43-year-old female first visited the Department of Head and Neck Surgery of Jiangyou City People's Hospital (Jiangyou, Sichuan, China) in 2009 due to a tenacious subcutaneous nodule that was 1.0 cm in diameter on the left side of the parotid region. The small, subcutaneous nodule was asymptomatic, and had been slowly increasing in size for the past 5 years. The nodule was surgically excised under local anesthesia with a false clinical diagnosis of an adenolymphoma of the parotid gland. However, 1 year later, a tenacious mass with an unclear boundary reappeared at the previous site. A secondary excision was performed at the same hospital, and the histological evaluation revealed a squamous epithelial cell mass and cells with hyperchromatic nuclei among fibrous tissue, reactive hyperplasia of the lymph node and partial epithelial proliferation among the tissues. A gray-black nodule with swelling and effusion appeared 3 months later at the site of the primary lesion. The patient was admitted to the same hospital once more. A biopsy of the nodes revealed a well-differentiated squamous cancer. The patient was then transferred to our hospital for further diagnosis and therapy.Upon physical examination, a 2.0x2.0-cm, tender, firm, non-fluctuant, gray-black lesion was noted on the skin surface of the left side of the parotid region (Fig. 1). There was no palpable lymphadenopathy of the left side of the neck. Sensation around the area and salivation were normal. There was no facial nerve dysfunction or dete...

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Pilomatrix Carcinoma With Lymph Node and Pulmonary Metastasis

Cited by 48 publications

References 35 publications

Pilomatrix Carcinoma with Lymph Node and Pulmonary Metastases

Pilomatrix Carcinoma with Lymph Node and Pulmonary Metastases

Pilomatrix Carcinoma: A Case Report

Pilomatrix carcinoma on the left side of the parotid region: A case report and review of the literature

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