SavedAdd your journal

Journals / Turkish Journal of Plastic Surgery / 2017 / Cilt: 25 - Sayı: 1

Punch Biopsy Results in Misdiagnosis of Pilomatrixoma

Punch Biyopsi Pilomatriksomada Yanlış Tanıya Neden Olmaktadır

Metin TEMEL
EBRU ÇELİK
MEHMET YALDIZ
Ali Özgür KARAKAŞ
Pages
45–48
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A differential diagnosis for benign tumors such as pilomatrixoma is essential prior to an aggressive surgical intervention of the parotid gland

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Punch biopsy results in misdiagnosis of clinically unsuspected giant pilomatrixoma located over the parotid gland.
📊
Key Findings & Data:A 25-year-old male was admitted to our clinic for the evaluation of a mass measuring 7×8×8 cm located over the parotid gland.
💡
Conclusion & Impact:A differential diagnosis for benign tumors such as pilomatrixoma is essential prior to an aggressive surgical intervention of the parotid gland
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Punch biopsy results in misdiagnosis of clinically unsuspected giant pilomatrixoma located over the parotid gland. This study presents a case of pilomatrixoma that was misdiagnosed as a malignant epithelial tumor using punch biopsy. A 25-year-old male was admitted to our clinic for the evaluation of a mass measuring 7×8×8 cm located over the parotid gland. The patient had previously undergone punch biopsy at another clinic because of a lesion in the parotid gland. Punch biopsy revealed a malignant epithelial tumor. The patient underwent excisional biopsy at our clinic. After the biopsy, the residual skin defect was treated using full-thickness skin grafts. The facial nerve and parotid gland were preserved during the biopsy. Histopathological examination of the excisional biopsy material revealed pilomatrixoma. Punch biopsy may result in misdiagnosis of skin lesions in the parotid gland. A differential diagnosis for benign tumors such as pilomatrixoma is essential prior to an aggressive surgical intervention of the parotid gland

Özet

Klinik olarak parotis üzerindeki bölgede dev pilomatriksomadan şüphelenilmediği için punch biyopsi ile yanlış tanılar konulabilmektedir. Punch biyopsi sonucu malign epitelyal tümör tanısı ile gönderilen olgunun değerlendirilmesi amaçlanmıştır. Parotis bölgesi üzerinde yaklaşık 7x8x8 cm boyutlarında kitle lezyonu ile müracaat eden 25 yaşındaki erkek hasta kliniğimizce değerlendirildi. Başlangıçta parotis bölgesi lezyonları düşünülen ve diğer klinikçe yapılan punch biyopsi sonucu malign epitelyal tümör olarak rapor edilmiş olan hastaya kliniğimizce eksizyonel biyopsi ameliyatı yapıldı. Ameliyat sonrası oluşan cilt defekti tam kalınlıkta cilt grefti ile onarıldı. Ameliyatta fasiyal sinir ve parotis bezi korundu. Eksizyonel biyopsi sonucu pilomatriksoma olarak rapor edildi. Parotis bölgesi cilt lezyonlarında, punch biyopsi yanıltıcı sonuçlara neden olabilmektedir. Parotis bölgesine yapılabilecek agresif cerrahi işlemlerden önce dev pilomatriksoma gibi iyi huylu tümörlerin ayırıcı tanısının yapılması gereklidir

🔖

Cite This Article

TEMEL, M., ÇELİK, E., YALDIZ, M., KARAKAŞ, A. Ö. (2017). Punch Biopsy Results in Misdiagnosis of Pilomatrixoma. Turkish Journal of Plastic Surgery, Cilt: 25 - Sayı: 1, 45–48. https://ajindex.com/articles/375871

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Aslan G, Erdoğan B, Aköz T, Görgü M, Seçkin S, Terzioğlu A. Multiple occurrence of pilomatrixoma. Plast Reconst Surg 1996; 98(3): 510-3
  2. Julian CG, Bowers PW. A clinical review of 209 pilomatricomas. J Am Acad Dermatol 1998; 39(2 Pt 1): 191-5
  3. Chuang CC, Lin HC. Pilomatrixoma of the head and neck. J Chin Med Assoc 2004; 67(12): 633-6
  4. Kovacic M, Rudic M, Nekic I, Lisica-Sikic N, Kranjcec Z, Simurina T. Giant pilomatrixoma (benign calcifying epithelioma of Malherbe) of the neck and face. Dermatol Surg 2007; 33(3): 340-3
  5. Sasaki CT, Yue A, Enriques R. Giant calcifying epithelioma. Arch Otolaryngol 1976; 102(12): 753-5
  6. Solanki P, Ramzy I, Durr N, Henkes D. Pilomatrixoma. Cytologic features with differential diagnostic considerations. Arch Pathol Lab Med 1987; 111(3): 294-7
  7. Lan MY, Lan MC, Ho CY, Li WY, Lin CZ. Pilomatricoma of the head and neck: a retrospective review of 179 cases. Arch Otolaryngol Head Neck Surg 2003; 129(12): 1327-30
  8. Pirouzmanesh A, Reinisch JF, Gonzalez-Gomez I, Smith EM, Meara JG. Pilomatrixoma: a review of 346 cases. Plast Reconstr Surg 2003; 112(7): 1784-9
  9. Rothman D, Kendall AB, Baldi A. Giant pilomatrixoma (Malherbe calcifying epithelioma). Arch Surg 1976; 111(1): 86-7
  10. Jung YS, Kang JG, Park WS, Ryu J. Pilomatricoma: diagnostic pitfalls in PET/CT and fine-needle aspiration biopsy. Otolaryngol Head Neck Surg 2007; 137(5): 845-6
  11. Williams MD, Pearson MH, Thomas FD. Pilomatrixoma: a rare condition in the differential diagnosis of a parotid swelling. Br J Oral Maxillofac Surg 1991; 29(3): 201-3
  12. Lozzi GP, Soyer HP, Fruehauf J, Massone C, Kerl H, Peris K. Giant pilomatricoma. Am J Dermatopathol 2007; 29(3): 286-9
  13. Shields JA, Shields CL, Eagle RC, Jr, Mulvey L. Pilomatrixoma of the eyelid. J Pediatr Ophthalmol Strabismus 1995; 32(4): 260-1
  14. Yoshimura Y, Obara S, Mikami T, Matsuda S. Calcifying epithelioma (pilomatrixoma) of the head and neck: analysis of 37 cases. The British journal of oral & maxillofacial surgery. 1997; 35(6): 429-32.