A case of malignant proliferating trichilemmoma of the scalp with multiple metastases.
We report a case of malignant proliferating trichilemmal tumor showing multiple distant metastases. The patient demonstrated a round mass in the right occipital area for 12 months and the lesion grew rapidly to assume 8 x 6.5 x 4 cm in diameter, with areas of superficial erosion and crusting within the recent 3 months. The entire lesion was removed with a wide surgical excision. It recurred on the neck area 4 months after excision and the lesion was removed with surgical resection again. There was evidence of multiple metastases on CNS and mediastinal lymph nodes after 6 months. The patient was treated with cisplatin and etoposide combination chemotherapy and a partial response was achieved.
Bae
S B
SB
Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
Lee
K K
KK
Kim
J S
JS
Lee
J H
JH
Lee
N S
NS
Lee
G T
GT
Park
S K
SK
Won
J H
JH
Baick
S H
SH
Hong
D S
DS
Lee
D W
DW
Park
H S
HS
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D001707:Biopsy, Needle; D001932:Brain Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy; D006801:Humans; D007150:Immunohistochemistry; D008207:Lymphatic Metastasis; D008297:Male; D018295:Neoplasms, Basal Cell / Q000556:secondary* / Q000628:therapy; D019635:Neurosurgical Procedures / Q000379:methods; D012086:Reoperation; D012535:Scalp; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy; D014057:Tomography, X-Ray Computed