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Arch Otolaryngol Head Neck Surg. 2003 Dec;129(12):1327-30.

Pilomatricoma of the head and neck: a retrospective review of 179 cases.

Author information

  • 1Department of Otolaryngology, Taipei Veterans General Hospital, 201 Shih-Pai Road, Sector 2, Taipei 112, Taiwan. mylan@vghtpe.gov.tw

Abstract

OBJECTIVE:

To describe the clinical presentations and management of pilomatricoma, formerly known as pilomatrixoma, of the head and neck.

DESIGN:

Retrospective study.

SETTING:

Tertiary care center.

PATIENTS:

The study included 179 patients with a diagnosis of pilomatricoma of the head and neck.

INTERVENTION:

All patients underwent surgical excision for pilomatricoma of the head and neck between 1991 and 2002.

RESULTS:

Pilomatricoma occurred at any age (mean age, 29.8 years); 45.3% of the cases occurred in patients younger than 18 years. The female-male ratio was 0.97:1. The average size of the lesion was 1 cm. The most common sites of occurrence were the neck (30.2%), cheeks (16.8%), scalp (16.2%), and brow and periorbital area (14.0%). Multiple occurrence was found in 1 case. Two of 179 tumors recurred after surgical excision.

CONCLUSIONS:

Because preoperative diagnosis of pilomatricoma is usually incorrect, careful clinical examination and a high index of suspicion would result in a more accurate diagnosis. Complete surgical excision is the treatment of choice. Otolaryngologists should consider pilomatricoma in the differential diagnosis of neck masses.

PMID:
14676160
[PubMed - indexed for MEDLINE]
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