Abstract
A 11-year-old male patient reported a hardness in the cheek. In the anamnesis, a palpable hard nodular lesion was observed in the jugal mucosa, slightly mobile, painless, and of unknown evolution. In the ectoscopic examination, nothing was initially identified. The oroscopic examination revealed a sessile nodule, covered by healthy mucosa, asymptomatic in the left jugal mucosa. The patient was human immunodeficiency virus negative, IgM for toxoplasmosis negative, and IgG positive and also had normal blood count. Ultrasonography of the area revealed a hypoechoic image with internal calcification. The first hypothesis was calcification of the lymph node or benign neoplasm with calcification. FNA biopsy revealed the presence of a hemorrhagic condition, hyaline areas suggestive of calcification with cells with granular cytoplasm in panoptic. The excision of the nodule was made and revealed cornified material and phantom cells, therefore closing the diagnosis of pilomatricoma. Currently, the patient is in a follow-up without relapse.
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