A Recurrent Giant Pilomatricoma on the Back.

Abstract

www.e-acfs.org pISSN 2287-1152 eISSN 2287-5603 142 Copyright © 2014 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Correspondence: Min Sung Tak Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, 53 Daesagwan-ro, Yongsan-gu, Seoul140-743, Korea E-mail: tarkms@schmc.ac.kr *This article contains supplemental Table S1. *This work was supported by Soonchunhyang University Research Fund. Received June 30, 2014 / Revised July 23, 2014 / Accepted August 1, 2014 Pilomatricoma is a relatively rare, slow-growing neoplasm of the skin. The term “pilomatrixoma,” was proposed in 1961 by Forbis and Helwigto refer to its origin from hair matrix cells. The tumor occurs anywhere in the body that contains hair follicles but is generally located on the head, neck and upper extremities. It is less than 2 cm in diameter and scarcely recurs under the completely excised state [1]. When the mass is greater than 5 cm, the term “giant pilomatricoma” is used. The low incidence and clinical spectrum often results in misdiagnosis, and most are confirmed only after histological evaluation. In this report, we present a case of recurrent giant pilomatricomaof the back and review the literature on this rare clinical entity. In 2011, a 33-year-old man was admitted to our clinic complaining of a palpable, slowly growing mass on his back. Previously, the patient had undergone an excisional operation about 3 years ago at an outside hospital, with subsequent recurrence, which prompted him to seek further care. Otherwise, his past medical history was unremarkable. Examination revealed a 5 × 4 cm sized subcutaneous irregular, hard, mobile mass in right lumbar area (T12 to L2). There was no ulceration, skin change, or tenderness. An excisional operation was performed, and the histoA Recurrent Giant Pilomatricoma on the Back