头皮额部创伤后增生性毛鞘瘤：一例报告
Posttraumatic proliferating trichilemmal tumour on the frontal region of the scalp: a case report.
作者信息
Sengul Ilker, Sengul Demet
机构信息
Department of General Surgery, Giresun University Faculty of Medicine, 28100 Giresun/Turkey.
出版信息
Cases J. 2010 Mar 20;3:80. doi: 10.1186/1757-1626-3-80.
INTRODUCTION
Proliferating trichilemmal tumour defined with more than one terms by many author, after well documentated series reported as "proliferating epidermoid cysts" by Wilson-Jones, firstly in 1966. They are rare, slowly growing, lobular masses inherited autosomal dominantly and localized on scalps of older women and believed to arising as a complication of a trauma and inflammation and effect 5-10% of people.
CASE PRESENTATION
We intented to present the case of a 62 years old Turkish woman with a history of slowly growing scalp mass after the trauma, especially during last 15 years. After surgical evaluation, histopathological slides exhibited the characteristic structures of proliferating trichilemmal tumour. The patient was lost to follow-up and no recurrens or distance metastasis detected during 40 months follow-up.
CONCLUSION
In our opinion, widely surgical excision with long-term surveillance is the best choice for both diagnosis and treatment still today.
引言
增殖性外毛根鞘瘤有多种名称，许多作者都有相关描述，1966年威尔逊 - 琼斯首次将其详细报道为“增殖性表皮样囊肿”。它们很罕见，生长缓慢，呈小叶状肿块，常为常染色体显性遗传，好发于老年女性头皮，据信是创伤和炎症的并发症，影响5%至10%的人群。
病例报告
我们想介绍一位62岁的土耳其女性病例，她有头皮肿物缓慢生长的病史，尤其是在过去15年中，该肿物起于创伤后。经过手术评估，组织病理学切片显示出增殖性外毛根鞘瘤的特征性结构。患者失访，在40个月的随访期间未发现复发或远处转移。
结论
我们认为，广泛的手术切除并长期监测至今仍是诊断和治疗的最佳选择。
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