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A Case of Trichilemmal Cyst Invading Submandibular Gland

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주제분류이비인후과학

초록

A trichilemmal cyst is a skin adnexal tumor that usually occurs on the scalps of elderly women. We report a trichilemmal cyst in the submandibular area of a 16-year-old male, masquerading as a second branchial cleft cyst. During surgery, the mass was found to have invaded the submandibular gland and needed to be excised totally in continuity with the submandibular gland. To our knowledge, this is the first reported case of a trichilemmal cyst involving the submandibular gland. Although rare, a trichilemmal cyst may be considered in the differential diagnosis of cystic lesions in the submandibular area. It should also be differentiated from other cystic malignant tumors for its tendency to invade the surrounding structure.

Abstract

A trichilemmal cyst is a skin adnexal tumor that usually occurs on the scalps of elderly women. We report a trichilemmal cyst in the submandibular area of a 16-year-old male, masquerading as a second branchial cleft cyst. During surgery, the mass was found to have invaded the submandibular gland and needed to be excised totally in continuity with the submandibular gland. To our knowledge, this is the first reported case of a trichilemmal cyst involving the submandibular gland. Although rare, a trichilemmal cyst may be considered in the differential diagnosis of cystic lesions in the submandibular area. It should also be differentiated from other cystic malignant tumors for its tendency to invade the surrounding structure.

참고문헌 (6)

  1. Satyaprakash AK, "Proliferating trichilemmal tumors: a review of the literature", Dermatol Surg, 33(9), pp.1102~1108 (2007)
  2. McGavran MH, "Keratinous cysts of the skin. Identification and differentiation of pilar cysts from epidermal cysts", Arch Dermatol, 94(4), pp.499~508 (1966)
  3. Perez LM, "Trichilemmal cyst of the upper lip", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 84(1), pp.58~60 (1997)
  4. El-Bahy K, "Trichilemmal cyst involving the skull base", Acta Neurochir (Wien), 146(12), pp.1361~1364 (2004)
  5. Karaman E, "Giant trichilemmal cyst at the neck region", J Craniofac Surg, 20(3), pp.961~962 (2009)
  6. Saida T, "Development of a malignant proliferating trichilemmal cyst in a patient with multiple trichilemmal cysts", Dermatologica, 166(4), pp.203~208 (1983)

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