A Case of Pilomatrixoma after Split Thickness Skin Graft

식피술 후 발생한 모기질종 1례

  • Choi, Jae Hoon (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Park, Sung Gyu (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine) ;
  • Lee, Jin Hyo (Department of Plastic and Reconstructive Surgery, Inje University College of Medicine)
  • 최재훈 (인제대학교 의과대학 서울백병원 성형외과학교실) ;
  • 박성규 (인제대학교 의과대학 서울백병원 성형외과학교실) ;
  • 이진효 (인제대학교 의과대학 서울백병원 성형외과학교실)
  • Received : 2006.05.22
  • Published : 2006.11.10

Abstract

Purpose: Pilomatrixoma is a benign, usually asymptomatic tumor. It presents clinically as a solitary superficial subcutaneous nodule measuring between 0.5 cm and 5 cm in diameter on the head or upper extremeties and has not been reported after skin graft. The objective of this article is to report our experience in treating pilomatrixoma which occurred after split thickness skin graft on the lower extremity. Methods: A 56-year-old female was treated in August 2005 with a $0.5{\times}0.5cm$ firm subcutaneous nodule at recipient site of split thickness skin graft on the left medial thigh. The tumor was successfully removed by complete excision and histologic examination was followed. Results: The diagnosis was pilomatrixoma which was characterized by a dual population of proliferating basophilic cells and diagnostic shadow cells. Conclusion: The tumor was successfully treated by complete resection. The authors report this very rare case of pilomatrixoma which occurred at recipient site of split thickness skin graft.

Keywords

References

  1. Forbis R Jr, Helwig EB: Pilomatrixoma(calcifying epithelioma). Arch Derm 83: 606, 1961 https://doi.org/10.1001/archderm.1961.01580100070009
  2. Soo SH, Jeung JT, Kye YC Kim SN: The study of the clinical, histopathological and pathogenetic feature of pilomatricoma. Korean J Dermatol 39: 1275, 2001
  3. Niedermeyer HP, Peris K, Hofler H: Pilomatrix carcinoma with multiple visceral metastases: report of a case. Cancer 77: 1311, 1996 https://doi.org/10.1002/(SICI)1097-0142(19960401)77:7<1311::AID-CNCR13>3.0.CO;2-4
  4. Lee SJ, Park BJ, Kim SK: Clinical Analysis of pilomatrixoma: a review of 107 cases. J Korean Soc Plast Reconstr Surg 31: 676, 2004
  5. Curcan A, Bulent E, Tayfun A, Metin C, Selda S, Ahmet T: Multiple occurrence of pilomatrixoma. Plast Reconstr Surg 98: 510, 1996 https://doi.org/10.1097/00006534-199609000-00024
  6. McGavran MH: Ultrastructure of pilomatrixoma(calcifying epithelioma). Cancer 18: 1445, 1965 https://doi.org/10.1002/1097-0142(196511)18:11<1445::AID-CNCR2820181111>3.0.CO;2-C
  7. Sean F, Michael M: bcl-2 expression in pilomatricoma. Am J Dermatopathol 19: 254, 1997 https://doi.org/10.1097/00000372-199706000-00009
  8. Thomas RW, Perkins JA, Ruegemer JL, Munaretto JA: Surgical excision of pilomatrixoma of the head and neck: a retrospective review of 26 cases. Ear Nose Throat J 78: 541, 1999