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Indian Journal of Dermatology
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CASE REPORT
Year : 2010  |  Volume : 55  |  Issue : 4  |  Page : 390-392

Pilomatricoma as a diagnostic pitfall in clinical practice: Report of two cases and review of literature


Departments of Pathology and Oncology Advanced Medical and Dental Institute, Universiti Sains Malaysia, Malaysia

Correspondence Address:
Ishita Pant
63-A, Vikas Nagar, Kanpur, India

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.74566

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Pilomatricoma (PMC) is a relatively uncommon benign skin neoplasm arising from the skin adnexa. Since the first description of PMC in 1880, there has been a gradual increase in understanding of the morphologic features and clinical presentation of this tumor. However, difficulties still persist in making clinical and cytologic diagnosis. We report the clinical and histopathological findings of two cases of pilomatricoma. In case 1, a 10-year-old girl presented with a right upper back mass. In case 2, a nine-year-old girl presented with a left ear lobe mass. The clinical findings in both the cases were suggestive of epidermoid/dermoid cyst. However, subsequent histopathologic examination confirmed these cases as pilomatricoma. This report reveals that pilomatricoma is a frequently misdiagnosed entity in clinical practice. The purpose of this article is to create awareness among clinicians on the possibility of pilomatricoma as a cause of solitary skin nodules, especially those on the head, neck or upper extremities.


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