Mantelom D48.5

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Mantleoma

Definition
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Extremely rare, benign, epithelial adnexal tumor of the skin, which starts from the so-called mantle region ("mantle") of the hair follicles. The occurrence of multiple mantle tumours has been described in the context of Birt-Hogg-Dubé syndrome.

Localization
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Face, neck region.

Clinical features
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Solitary or plural (then mostly in the context of genodermatoses), barely 1-2 mm large, skin-coloured, to yellowish papules, which remind of a basal cell carcinoma or of dermal melanocytic nevi.

Histology
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Small nodular epithelial proliferation around the upper part of the hair follicle consisting of interlinked epithelial clusters, which may include sebocytes or sebaceous gland ducts.

Differential diagnosis
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Therapy
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Excision for solitary tumors. Since the diagnosis is unlikely to be clinical, the excision is performed for differential diagnostic reasons. Multiple mantleomas can be removed with the 2 -Laser">CO 2 -Laser ( alternatively Erbium-YAG-Laser ).

Literature
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  1. Kahle B et al Multiple mantleomas in Birt-Hogg-Dube syndrome: successful therapy with CO2 laser. dermatologist 52: 43-46
  2. Rudolph P (2002) Benign adnexal skin tumors. Pathologist 23: 71-78
  3. Steffen C (1993) Mantleoma. A beningn neoplasm with mantle differentiation. At J Dermatopathol 15: 306-310

Incoming links (2)

Fibrofolliculoma; Mantleoma;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020