Abstract

A pilomatricoma is a benign appendage tumor related to hair cells matrix. Pilomatricoma usually occurs as a solitary firm lesion with predilection for head and neck, and upper extremities. It is more common in children. AIM: The objective of this study is to know the clinical presentation and histopathology of this condition. MATERIALS AND METHODS: This is a 4 yrs retrospective and 1 yr prospective study carried in Upgraded Department of pathology, Osmania general hospital between June 2008 and May 2013. Patients data such as sex, age, site of occurrence, clinical presentation were considered.The study included 15 patients with histopathologically diagnosed pilomatricoma. RESULTS: A total of 15 cases were included in our study with an age range from 6-36 year.Out of which benign tumors were 14 (93.3%) and malignant 1 (6.7%). The female: male ratio was 3:2. The sizes of the tumours range from 2-3cm. Most of the cases were seen in Upper extremity-7 cases (46.7%), followed by Head and neck region6 cases (40.0%) and Trunk-2 cases (13.3%). The most common clinical presentation was sebaceous cyst. CONCLUSION: Pilomatricoma generally present as firm subcutaneous nodules in children and young adults and are often misdiagnosed. The physicians and surgeons should be familiar with this entity and consider it in the differential diagnosis of a superficial mass.

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