Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report

Key Clinical Message A very rare skin cancer. Malignant variant of pilomatricoma. It is unique because of its highly aggressive behavior. Responds poorly to chemotherapy and radiotherapy. Treated with a wide surgical excision with safe margins. Abstract Pilomatrix carcinoma is uncommon and locally a...

Full description

Bibliographic Details
Main Authors: Kenneth Mlay, Peter Shija, Marco Magwizi, Ezekiel G. Karuga, Philbert Mtenga, Alex Mremi
Format: Article
Language:English
Published: Wiley 2023-11-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8123
_version_ 1797449738230956032
author Kenneth Mlay
Peter Shija
Marco Magwizi
Ezekiel G. Karuga
Philbert Mtenga
Alex Mremi
author_facet Kenneth Mlay
Peter Shija
Marco Magwizi
Ezekiel G. Karuga
Philbert Mtenga
Alex Mremi
author_sort Kenneth Mlay
collection DOAJ
description Key Clinical Message A very rare skin cancer. Malignant variant of pilomatricoma. It is unique because of its highly aggressive behavior. Responds poorly to chemotherapy and radiotherapy. Treated with a wide surgical excision with safe margins. Abstract Pilomatrix carcinoma is uncommon and locally aggressive tumor of the hair follicle matrix. It is a malignant variant of pilomatricoma. If left untreated for a long time may attain massive size and has the potential for distant spread. Only few cases with brain extension have been reported in the literature. Diagnosis of these tumors is established by histopathology. Although pilomatrixoma and pilomatrix carcinoma are well‐recognized lesions, clinically they are frequently misdiagnosed as other skin conditions. The tumors respond poorly to chemotherapy and radiotherapy. Thus, recommended treatment is a wide surgical excision with safe margins. Herein, we report the case of a 39‐year‐old African woman with pilomatrix carcinoma of the scalp eroding the skull bone with intracranial extension.
first_indexed 2024-03-09T14:29:26Z
format Article
id doaj.art-14667f4a0ff041989debfc8c677cc012
institution Directory Open Access Journal
issn 2050-0904
language English
last_indexed 2024-03-09T14:29:26Z
publishDate 2023-11-01
publisher Wiley
record_format Article
series Clinical Case Reports
spelling doaj.art-14667f4a0ff041989debfc8c677cc0122023-11-28T04:14:44ZengWileyClinical Case Reports2050-09042023-11-011111n/an/a10.1002/ccr3.8123Giant pilomatrix carcinoma of the scalp with intracranial extension: A case reportKenneth Mlay0Peter Shija1Marco Magwizi2Ezekiel G. Karuga3Philbert Mtenga4Alex Mremi5Department of Otorhinolaryngology Kilimanjaro Christian Medical Centre Moshi TanzaniaDepartment of Otorhinolaryngology Kilimanjaro Christian Medical Centre Moshi TanzaniaDepartment of Otorhinolaryngology Kilimanjaro Christian Medical Centre Moshi TanzaniaDepartment of Otorhinolaryngology Kilimanjaro Christian Medical Centre Moshi TanzaniaDepartment of Otorhinolaryngology Kilimanjaro Christian Medical Centre Moshi TanzaniaFaculty of Medicine Kilimanjaro Christian Medical University College Moshi TanzaniaKey Clinical Message A very rare skin cancer. Malignant variant of pilomatricoma. It is unique because of its highly aggressive behavior. Responds poorly to chemotherapy and radiotherapy. Treated with a wide surgical excision with safe margins. Abstract Pilomatrix carcinoma is uncommon and locally aggressive tumor of the hair follicle matrix. It is a malignant variant of pilomatricoma. If left untreated for a long time may attain massive size and has the potential for distant spread. Only few cases with brain extension have been reported in the literature. Diagnosis of these tumors is established by histopathology. Although pilomatrixoma and pilomatrix carcinoma are well‐recognized lesions, clinically they are frequently misdiagnosed as other skin conditions. The tumors respond poorly to chemotherapy and radiotherapy. Thus, recommended treatment is a wide surgical excision with safe margins. Herein, we report the case of a 39‐year‐old African woman with pilomatrix carcinoma of the scalp eroding the skull bone with intracranial extension.https://doi.org/10.1002/ccr3.8123case reportmalignant pilomatrixomapilomatrix carcinomarecurrenceskin cancerwide local excision
spellingShingle Kenneth Mlay
Peter Shija
Marco Magwizi
Ezekiel G. Karuga
Philbert Mtenga
Alex Mremi
Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
Clinical Case Reports
case report
malignant pilomatrixoma
pilomatrix carcinoma
recurrence
skin cancer
wide local excision
title Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
title_full Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
title_fullStr Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
title_full_unstemmed Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
title_short Giant pilomatrix carcinoma of the scalp with intracranial extension: A case report
title_sort giant pilomatrix carcinoma of the scalp with intracranial extension a case report
topic case report
malignant pilomatrixoma
pilomatrix carcinoma
recurrence
skin cancer
wide local excision
url https://doi.org/10.1002/ccr3.8123
work_keys_str_mv AT kennethmlay giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport
AT petershija giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport
AT marcomagwizi giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport
AT ezekielgkaruga giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport
AT philbertmtenga giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport
AT alexmremi giantpilomatrixcarcinomaofthescalpwithintracranialextensionacasereport