A Case of a Giant Trichilemmal Cyst on the Forehead

Trichilemmal cysts are the most common benign subcutaneous cysts on the scalp. Approximately 90% of trichilemmal cysts appear on the scalp and have trichilemmal keratinization without a granular layer visible on pathological examination. In addition, proliferating trichilemmal tumors, which occur in...

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Main Authors: Nariaki Takamura, Kenichi Amo, Yu Yusa, Yusuke Takezawa
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2024-01-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0044/_pdf/-char/en
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author Nariaki Takamura
Kenichi Amo
Yu Yusa
Yusuke Takezawa
author_facet Nariaki Takamura
Kenichi Amo
Yu Yusa
Yusuke Takezawa
author_sort Nariaki Takamura
collection DOAJ
description Trichilemmal cysts are the most common benign subcutaneous cysts on the scalp. Approximately 90% of trichilemmal cysts appear on the scalp and have trichilemmal keratinization without a granular layer visible on pathological examination. In addition, proliferating trichilemmal tumors, which occur in 2% of trichilemmal cysts, show local recurrence and ulceration, making them highly locally aggressive and requiring careful differentiation. We report the case of a 56-year-old man with a giant trichilemmal cyst on his forehead. After computed tomography and magnetic resonance imaging, a subcutaneous cyst was suspected and excised, and a pathological diagnosis of trichilemmal cyst was established. This was a rare case as the trichilemmal cyst was not located on the scalp, the most common site, but on the forehead area, and it was exceedingly large, with a maximum diameter of 9 cm.
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spelling doaj.art-cd7e0dead3454c72836bc3313e8950ed2024-02-01T00:39:27ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2024-01-013121252022-0044A Case of a Giant Trichilemmal Cyst on the ForeheadNariaki Takamura0Kenichi Amo1Yu Yusa2Yusuke Takezawa3Department of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki HospitalDepartment of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki HospitalDepartment of Plastic and Reconstructive Surgery, Tohoku University HospitalDepartment of Plastic and Reconstructive Surgery, Japanese Red Cross Ishinomaki HospitalTrichilemmal cysts are the most common benign subcutaneous cysts on the scalp. Approximately 90% of trichilemmal cysts appear on the scalp and have trichilemmal keratinization without a granular layer visible on pathological examination. In addition, proliferating trichilemmal tumors, which occur in 2% of trichilemmal cysts, show local recurrence and ulceration, making them highly locally aggressive and requiring careful differentiation. We report the case of a 56-year-old man with a giant trichilemmal cyst on his forehead. After computed tomography and magnetic resonance imaging, a subcutaneous cyst was suspected and excised, and a pathological diagnosis of trichilemmal cyst was established. This was a rare case as the trichilemmal cyst was not located on the scalp, the most common site, but on the forehead area, and it was exceedingly large, with a maximum diameter of 9 cm.https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0044/_pdf/-char/entrichilemmal cystproliferating trichilemmal cystepidermal cyst
spellingShingle Nariaki Takamura
Kenichi Amo
Yu Yusa
Yusuke Takezawa
A Case of a Giant Trichilemmal Cyst on the Forehead
Journal of Plastic and Reconstructive Surgery
trichilemmal cyst
proliferating trichilemmal cyst
epidermal cyst
title A Case of a Giant Trichilemmal Cyst on the Forehead
title_full A Case of a Giant Trichilemmal Cyst on the Forehead
title_fullStr A Case of a Giant Trichilemmal Cyst on the Forehead
title_full_unstemmed A Case of a Giant Trichilemmal Cyst on the Forehead
title_short A Case of a Giant Trichilemmal Cyst on the Forehead
title_sort case of a giant trichilemmal cyst on the forehead
topic trichilemmal cyst
proliferating trichilemmal cyst
epidermal cyst
url https://www.jstage.jst.go.jp/article/jprs/3/1/3_2022-0044/_pdf/-char/en
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