대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제39권2호
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  • Pages.31-34
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  • 2023
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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혈관기원종양으로 오인된 귓바퀴의 색소 모기질종: 증례 보고

Pigmented Pilomatricoma on the Ear Resembling Vascular Tumor before Surgery: A Case Report

  • 임석범 (건양대학교병원 성형외과학교실) ;
  • 고인창 (건양대학교병원 성형외과학교실) ;
  • 김훈 (건양대학교병원 성형외과학교실) ;
  • 권건영 (건양대학교병원 병리학교실) ;
  • 임수연 (건양대학교병원 성형외과학교실)
  • Seok Beom Lim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center) ;
  • In Chang Koh (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center) ;
  • Hoon Kim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center) ;
  • Kun Young Kwon (Department of Pathology, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center) ;
  • Soo Yeon Lim (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center)
  • 투고 : 2023.07.28
  • 심사 : 2023.09.08
  • 발행 : 2023.11.30
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초록

Pilomatricoma is characterized by a semi-transparent epidermis, especially pigmented pilomatricoma, containing melanocytes in basaloid cells, which are dark and purple, resembling vessel-derived skin masses. If the vascularity at doppler ultrasound is high before surgery, it may be misdiagnosed. A 10-year-old female patient visited our clinic because of a mass in the right ear triangular fossa. Ultrasonography was performed, and a vascular-origin tumor was suspected because of the high vascularity. The excised mass was diagnosed as pigmented pilomatricoma by a pathologist. Pilomatricoma is mistaken for other masses owing to its various phenotypes. A misdiagnosis can lead to misdirected strategies which can cause delayed treatment and can result in an increase in the size of the pilomatricoma, making the sequalae of surgery more complicated. For proper treatment, careful examination and evaluation are required before surgery.

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참고문헌

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