title: Giant pilomatricoma involving the parotid: case report and literature review.
abstract: BACKGROUND
  Pilomatricomas greater than 5cm in dimension (i.e. "giant" pilomatricomas) are uncommon, especially in the cheek. A brief review of the literature is presented.
  
  
  METHODS
  We report a rare case of a giant pilomatricoma of the right cheek immediately overlying and involving the lateral lobe of the parotid gland. The tumour was removed with preservation of the facial nerve. A cervicofacial fasciocutaneous advancement flap was used to reconstruct the surgical defect.
  
  
  CONCLUSIONS
  Pilomatricoma should be considered in the differential diagnosis of large cheek tumours. Giant pilomatricomas involving the parotid gland can be excised without sacrificing the facial nerve and the resultant surgical defect reconstructed with excellent cosmesis in a single-stage procedure.
authors.affiliation: Division of Plastic, Reconstructive, and Maxillofacial Surgery, Johns Hopkins Hospital, 601 N. Caroline Street, Baltimore, MD, USA. gsm@jhmi.edu
authors.forename: Gerhard S
authors.initials: GS
authors.lastname: Mundinger
authors.forename: Derek M
authors.initials: DM
authors.lastname: Steinbacher
authors.forename: Justin A
authors.initials: JA
authors.lastname: Bishop
authors.forename: Anthony P
authors.initials: AP
authors.lastname: Tufaro
mesh_terms: D002610:Cheek / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005153:Facial Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D010307:Parotid Neoplasms / Q000473:pathology* / Q000601:surgery; D018296:Pilomatrixoma / Q000473:pathology* / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps; D055815:Young Adult