[Management of whole-scalp tumour: the Poncet-Spiegler cylindroma or turban tumour].
BACKGROUND
The Poncet-Spiegler cylindroma (PSC) is a benign annexal cutaneous tumor which preferentially develops on the scalp, neck, or forehead. Localizations may be isolated or multiple and often affect the young adult. The lesions grow progressively. When the scalp is completely involved, it presents as a "turban tumor". Treatment is surgery and may be difficult when the tumor is extended. We report the management of turban tumor.


METHODS
A 25 year-old female patient was first treated by partial scalp nodule exeresis and histology documented a PSC. She was lost to follow-up. But 9 years later, she was managed for a turban like PSC. The treatment was a complete scalp exeresis and secondary reconstruction with a skin graft. Follow-up was uneventful with a progressive functional and cosmetic improvement and after 2 years, there was no relapse.


CONCLUSIONS
As for most tumors, management depends on the size of the PSC. An aggressive surgical treatment must be considered if the PSC is extended. In case of turban tumor, total scalp exeresis and secondary reconstruction with a skin graft is recommended.
Alix
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Service de chirurgie maxillofaciale, plastique et esthétique et de stomatologie, CHU de Saint-Etienne, 25, boulevard Pasteur, 42055 Saint-Etienne cedex 2, France. alix.thomas.cmf@gmail.com
Labbé
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Caquant
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Comoz
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Compère
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Bénateau
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