Clinical analysis and review of literature on pilomatrixoma in pediatric patients

BACKGROUND: Pilomatrixoma is a benign tumor that originates from the hair follicle matrix. It usually presents as a hard, slow growing, solitary mass that can be easily misdiagnosed as other skin masses. The aim of this study was to clinically analyze a case series of pilomatrixoma in pediatric patients from Korea.

METHODS: A total of 165 pediatric patients from 2011 to 2018 with a histological diagnosis of pilomatrixoma were included. A retrospective review was performed using the electronic medical records, including patient demographics, number and location of the mass, clinical and imaging presentation, and postoperative outcomes.

RESULTS: There were 61 male and 104 female patients with 152 solitary and 13 multiple pilomatrixomas. Among solitary pilomatrixomas, the lesion commonly occurred in the head and neck (84.2%), followed by upper limbs (11.2%), lower limbs (3.3%), and trunk (1.3%). The pilomatrixoma lesion presented as the following types based on our clinical classification: mass (56.02%), pigmentation (25.31%), mixed (12.65%), ulceration (4.82%), and keloid-like (1.2%). Ultrasonography showed a high positive predictive value (95.56%). There were no specific complications observed except for two cases of recurrence.

CONCLUSION: Pilomatrixoma has various clinical feature presentations and commonly occurs in the head and neck. Ultrasonography is a helpful diagnostic tool. Surgical removal of the lesion is the main treatment method with a low recurrence rate.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Archives of craniofacial surgery - 21(2020), 5 vom: 30. Okt., Seite 288-293

Sprache:

Englisch

Beteiligte Personen:

Hu, Ju Long [VerfasserIn]
Yoo, Hyokyung [VerfasserIn]
Kwon, Sung Tack [VerfasserIn]
Kim, Sukwha [VerfasserIn]
Chung, Jee Hyeok [VerfasserIn]
Kim, Hyeonwoo [VerfasserIn]
Kim, Jinhyun [VerfasserIn]
Yu, Na Hee [VerfasserIn]
Kim, Byung Jun [VerfasserIn]

Links:

Volltext

Themen:

Benign neoplasms
Journal Article
Pediatrics
Pilomatrixoma

Anmerkungen:

Date Revised 14.11.2020

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.7181/acfs.2020.00528

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317116592