Head and neck pilomatricoma: an analysis of 201 cases.
Br J Oral Maxillofac Surg
; 49(5): 354-8, 2011 Jul.
Article
in En
| MEDLINE
| ID: mdl-20594627
ABSTRACT
We report our experience with 201 pilomatricomas of the head and neck. They occurred over a wide age range (2-93 years, mean 29.5) and were most common in the first and second decades. Almost half (49%) presented in people over 40 years of age and there was no sex predilection (malefemale ratio 11.1). The most common presentation was as a slowly enlarging, asymptomatic, subcutaneous mass, although nearly 25% were symptomatic, and 12% had a reddish blue skin discolouration. Most lesions were solitary; only 9 patients (5%) had multiple lesions. The most commonly affected sites were the cheek (23%), neck (22%), eyebrow (18%), and scalp (14%). Tumours were often mistaken for other lesions and a correct preoperative diagnosis was made in only 28% of cases. Preoperative investigations were done only occasionally and were not always helpful. All lesions were excised and excision was reported to have been incomplete in 22%. Two patients (1%) had a recurrence after incomplete excision. We highlight the condition to raise awareness among clinicians, and we support conservative excision as the most appropriate method of treatment.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Skin Neoplasms
/
Pilomatrixoma
/
Hair Diseases
/
Head and Neck Neoplasms
Type of study:
Diagnostic_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
Br J Oral Maxillofac Surg
Year:
2011
Document type:
Article
Affiliation country:
United kingdom