Oral Medicine and Radiology, Yenepoya Dental College, Mangalore, Karnataka, India
Oral and Maxillofacial Surgery, Yenepoya Dental College, Mangalore, Karnataka, India.
BMJ Case Rep. 2021 Feb 1;14(2):e238033. doi: 10.1136/bcr-2020-238033.
Pilomatrixoma is a benign subcutaneous tumour arising from the sebaceous glands. Mutation in the CTNNB1 gene is seen, suggesting beta-catenin misregulation may be the cause of pilomatrixoma. The preoperative diagnosis may be improved by the awareness of the fact that pilomatrixoma is a common and benign skin tumour of the head and neck region. It presents as a well-defined mass, which may be firm to hard in consistency, usually attached to the skin, but not to the underlying tissue. The colour of overlying skin appears a reddish-brown tinge, indicating that it could be a case of pilomatrixoma. Here, we report a case of pilomatrixoma of the cheek in a woman along with the CT findings and histopathological appearances. Dental surgeons should consider it as one of the differential diagnosis in superficial head and neck swelling with calcification.
毛母质瘤是一种起源于皮脂腺的良性皮下肿瘤。CTNNB1 基因突变可见,提示β-连环蛋白失调控可能是毛母质瘤的原因。术前诊断可以通过认识到毛母质瘤是一种常见的良性头颈部皮肤肿瘤来提高。它表现为界限清楚的肿块,质地可为坚实至硬,通常附着于皮肤,但不附着于下面的组织。皮肤表面呈红棕色色调,表明可能是毛母质瘤。在这里,我们报告了一例女性颊部毛母质瘤的病例,并伴有 CT 发现和组织病理学表现。牙医应将其视为伴钙化的头颈部浅表肿胀的鉴别诊断之一。