P-ISSN: 2708-1494, E-ISSN: 2708-1508
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International Journal of Case Reports in Surgery
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2022, Vol. 4, Issue 1, Part A

Multiple giant trichilemmal cyst mimicking proliferating pilar tumors in a Moroccan patient


Author(s): Farah El Hadadi, Line Mezni, Kaoutar Znati, Mariame Meziane, Nadia Ismaili, Laila Benzekri and Karima Senouci

Abstract: Trichilemmal cyst (TC) also known as “pilar cyst” is a common adnexal skin begnin tumor and filled with cytokeratin that arises from a hair follicle. They usually affect adult women. Atypical cysts (multiple nodules, ulcerated, rapidly growing) can mimic malignant proliferating pilar tumors (PPT). cysts are most often found on the scalp. The cysts are externally smooth, mobile, a protein family found in hair, nails, and skin. We report a unique case of 15 pilar cyst in an adult patient mimicking a PPT. A 47-year-old male Moroccan patient presented with a 6-year history of multiple nodules of the scalp, the lesions had a significant aesthetic impact on the patient. A surgical excision was performed and histopathological examination confirmed the diagnosis of begnin pilar cyst. Trichilemmal cyst are frequent adnexal tumor with no risk of malignant transformation. However, proliferating trichilemmal (pilar) cysts are dermal neoplasm locally invasive with a metastatic potential. A good clinical and histopathological examination is therefore necessary to make the correct diagnosis.

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How to cite this article:
Farah El Hadadi, Line Mezni, Kaoutar Znati, Mariame Meziane, Nadia Ismaili, Laila Benzekri, Karima Senouci. Multiple giant trichilemmal cyst mimicking proliferating pilar tumors in a Moroccan patient. Int J Case Rep Surg 2022;4(1):01-03.


International Journal of Case Reports in Surgery
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