Buradasınız

PİLOMATRİKS KARSİNOMA

Pilomatrix carcinoma

Journal Name:

Publication Year:

Abstract (2. Language): 
Aim: It was aimed to discuss a rare case which was diagnossed as pilomatrix carcinoma. Case Re-port: We report the case of a 50-year- old man with a pilomatrix carcinoma in his left forearm. In his history the patient announced taht the lesion had developed one year ago, and its size had ex¬panded rapidly after the first six- month period. Diagnosis of malignant pilomatricoma is essentially histopathological .The tumor was composed of pleomorphic basaloid cells with prominent nucleoli and frequent atypical mitoses accompanied by central areas with keratotic materials, shadow cells, and foci of necrosis. Vascular or perineural infiltration was not observed. The patient remained dise¬ase-free at the 22 months follow- up. Conclusion: Pilomatrix carcinoma is a neoplasm of low-gra¬de malignancy that should be distinguished from the conventional pilomatrixoma and its variants. Clinicians and pathologists should be aware of the occurrence of pilomatrix carcinoma because of its potential for distant metastases. We reviewed the literature and comment on the histopathologic differences from other cutaneous tumors.
Abstract (Original Language): 
Amaç: Pilomatriks karsinoma tanısı konulan bir olgunun, nadir görülmesi nedeniyle tartışılması amaçlandı. Olgu Sunumu: 50 yaşında erkek hastada, sol ön kolunda yerleşim gösteren pilomatriks karsinoma olgusunu sunduk. Hasta hikayesinde lezyonun bir yıl önce geliştiği, ilk 6 aydan sonra bo-yutlarının hızla arttığı bildirildi. Pilomatriks karsinoma tanısı başlıca histopatolojik olarak verilir. Tümör, sıklıkla atipik mitozis gösteren, nükleolusları belirgin pleomorfik hücrelerden oluşmakta ve santralde keratotik materyal, gölge hücreleri, ve nekroz alanları ile karakterizeydi. Damar veya sinir infiltrasyo-nu görülmedi. Hasta 22 aydır lezyondan arınmış olarak izlenmektedir. Sonuç: Pilomatriks karsinoma düşük dereceli bir tümör olup, pilomatriksoma ve tiplerinden ayırımı yapılmalıdır. Klinisyenler ve pa¬tologların uzak metastaz potansiyeli yönünden, bu olgulara dikkatli yaklaşımı gerekmektedir. Literatürü gözden geçirerek olgunun diğer deri tümörleri ile ayırıcı tanısını tartıştık.
35-37

REFERENCES

References: 

1. Laponsri S, Mihm MC Jr. Pilomatrix carcinoma or calcifying epiteliocarcinoma of Malherbe. Cancer 1980; 45: 2368.
2. Petit T, Grossin M, Lefort E, Lamarche F, Henin D. Pilomatrix carcinoma: histologic and immunohis-tochemical features. Two studies. Ann Pathol. 2003 Feb; 23(1): 50- 4.
3. Hardisson D, Linares MD, Cuevas- Santos J, Cont¬reras F. Pilomatrix carcinoma: a clinicopathologic study of six cases and review of the literature. Am J Dermatopathol. 2001 Oct; 23(5): 394- 401.
4. Bremnes RM, Kvamme JM, Stalsberg H, Jacobsen EA. Pilomatrix carcinoma with multiple metastases: report of a case and review of the literature. Eur J Cancer 1999 Mar; 35(3): 433- 7.
5. Li X, Jiang H, Li A. Clinicopathological study on 15 cases of pilomatrix carcinoma. Zhongua Bing Li Xue Za Zhi. 1997 Apr; 26(2): 100- 2.

6. Sau P, Lupton GP, Graham JH. Pilomatrix carcino-ma. Cancer 1993 Apr 15; 71(8): 2491- 8.
7. Masahashi T, Takahashi S, Maie O. Pilomatrix car¬cinoma- report of the second case in Japan and review of the literature. Nippon Hifuka Gakkai Zasshi. 1990 Mar; 100(4): 533- 9.
8. De Galvez- Aranda MV, Herera Cebollos E, Sanc-hez- Sanchez P, Bosch- Garcia RJ, Matilla- Vicente A. Pilomatrix carcinoma with lymph node and pul¬monary matestasis: report of a case arising on the
knee. Am J Dermatopathol 2002 Apr; 24(2): 139-43.
9. Green DE, Sanusi ID, Fowler MR. Pilomatrix car¬cinoma. J Am Acad Dermatol. 1987 Aug; 17(2): 264- 70.
10. Se Hoon Kim, Min- Geol Lee, Kwang Gil Lee. Basal cell carcinoma with matrical diferantiation. Yonsei
Med J. 2003; 44(3): 523- 5.

Thank you for copying data from http://www.arastirmax.com