Pilomatrix carcinoma C44.9

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Carcinoma; maternal carcinoma; matriculation

History
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Gromiko, 1927

Definition
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Very rare malignant tumour, originating from the hair follicle apparatus.

Manifestation
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Usually first appearing between 40th and 60th LJ. Men are affected about 4 times as often as women. According to studies, the age at excision is usually between 40 and 50 LJ.

Localization
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Head (preauricular), neck, back.

Clinical features
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Mostly solitary, 1-10 cm in size, coarse, skin-coloured or yellowish, subcutaneous-cutaneous, blurred, infiltrating with a tendency to ulceration of growing nodules.

Histology
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Massive, clumsy, blurred tumor clusters of atypical, very pleomorphic cells with bright cytoplasm and roundish nuclei. Numerous mitoses. Often necrobiotic zones with shadow cells and larger horn masses. Dense lymphocytic infiltrates.

Differential diagnosis
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Therapy
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Excision with a large safety distance both to the side (1-2 cm) and to the depth (edge cut controls).

Progression/forecast
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Local recurrences in 50-60% of cases. Metastasis in 5-10% of cases.

Literature
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  1. Ackermann B et al (2001) Neoplasms with follicular differentiation. Ardor Scribendi, New York
  2. Gromiko N (1927) On the knowledge of the malignant transformation of the calcified skin epithelioma. Arch Catholic Anat 265: 103-116
  3. Haferkamp B et al (1999) Pilomatrix carcinoma in an unusual localization. dermatologist 50: 355-359
  4. Hardisson D et al (2002) Pilomatrix carcinoma: a clinicopathologic study of six cases and review of the literature. At J Dermatopathol 23: 394-401
  5. Kaddu S et al (2003) Adnexal tumors with hair follicle differentiation. In: Kerl H et al (ed.) Histopathology of the skin. Springer, Berlin Heidelberg New York, S. 668-669
  6. Petit T et al (2003) Pilomatrix carcinoma: histologic and immunohistochemical features. Two studies. Ann Pathol 23: 50-54

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Pilomatrixoma;

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

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Last updated on: 29.10.2020