Malignant proliferating trichilemmal tumor of thigh: a case report of an unusual location of a rare cutaneous adnexal tumor

Authors

DOI:

https://doi.org/10.18203/2349-2902.isj20223175

Keywords:

Malignant proliferating trichilemmal tumour, Elderly female, Thigh, Cystic swelling, Skin involved

Abstract

Proliferating trichilemmal tumour (PTT) is a well-circumscribed dermal or subcutaneous neoplasm with squamoid cytologic features and trichilemmal-type of keratinization. Usually, proliferating trichilemmal cysts are benign, although rarely, can undergo malignant transformation, at which point they are referred to as malignant proliferating trichilemmal tumours (MPTTs). Ninety percent of PTTs occur on the scalp, but they have also been found on the forehead, nose, back, chest, abdomen, buttocks, elbow, wrist, mons pubis and vulva. Here a case of an 89-year-old woman with a malignant proliferating trichilemmal tumour of right thigh is discussed, which is a very rare site for occurrence of the same.

 

Author Biography

Athira Mohanan, Department of Surgery, K. V. M. Superspecialty Hospital, Cherthala, Kerala, India

Consultant General Surgeon

References

Garg PK, Dangi A, Khurana N, Hadke NS. Malignant proliferating trichilemmal cyst: a case report with review of literature. Malays J Pathol. 2009;31(1):71-6.

Fieleke DR, Goldstein GD. Malignant proliferating trichilemmal tumor treated with Mohs surgery: proposed protocol for diagnostic work-up and treatment. Dermatol Surg. 2015;41(2):292-4.

Wick MR, Swanson PE. Cutaneous adnexal tumours: A guide to pathologic diagnosis. Chicago, IL: ASCP Press; 1991: 113-168.

Jones EW. Proliferating epidermoid cysts. Arch Dermatol. 1966;94(1):11-9.

Brownstein MH, Arluk DJ. Proliferating trichilemmal cyst: a simulant of squamous cell carcinoma. Cancer. 1981;48(5):1207-14.

Ye J, Nappi O, Swanson PE, Patterson JW, Wick MR. Proliferating pilar tumors: a clinicopathologic study of 76 cases with a proposal for definition of benign and malignant variants. Am J Clin Pathol. 2004;122(4):566-74.

Saida T, Oohara K, Hori Y, Tsuchiya S. Development of a malignant proliferating trichilemmal cyst in a patient with multiple trichilemmal cysts. Dermatologica. 1983;166(4):203-8.

Rao S, Ramakrishnan R, Kamakshi D, Chakravarthi S, Sundaram S, Prathiba D. Malignant proliferating trichilemmal tumour presenting early in life: an uncommon feature. J Cutan Aesthet Surg. 2011;4(1):51-5.

Stricker TP, Kumar V. Neoplasia. In: Kumar V, Abbas AK, Fausto N, Aster J, eds. Robbins and Cotran Pathologic Basis of Disease. 8th ed. New Delhi: Elsevier; 2010: 173-223.

Seff I, Berkowitz S. Carcinomatous degeneration of sebaceous cysts. Surg Gynecol Obstet. 1916; 33:469-73.

Agarwal C, Pujani M, Raychaudhuri S, Arora S, Rana D, Chauhan V. Squamous Cell Carcinoma versus Malignant Proliferating Trichilemmal Tumor: A Histopathological Dilemma with Review of Literature. Indian J Dermatol. 2019;64(4):339.

Satyaprakash AK, Sheehan DJ, Sangüeza OP. Proliferating trichilemmal tumors: a review of the literature. Dermatol Surg. 2007;33(9):1102-8.

Downloads

Published

2022-11-28

Issue

Section

Case Reports