Open AccessMalignant proliferating trichilemmal tumor of the scalp with secondary infection in an elderly man
Author(s) -
Saptarshi Paul,
Harishchandra Badekila,
Anantha Prabhu Kumble
Publication year - 2015
Publication title -
archives of medicine and health sciences
Language(s) - English
Resource type - Journals
eISSN - 2321-6085
pISSN - 2321-4848
DOI - 10.4103/2321-4848.154954
Subject(s) - medicine , scalp , malignant transformation , histopathological examination , cyst , dermatology , surgery , pathology
A 65-year-old man presented with the complaints of a growth on the scalp, which ruptured spontaneously leading to bleeding and foul smelling discharge associated with severe pain. Examination revealed ulceroproliferative growth with slough and surrounding induration, infested with maggots. Histopathological examination revealed proliferating trichilemmal tumor (PTT) with secondary infection. Wide excision of the tumor was done with 1 cm margin all around it. PTT is a benign neoplasm that can rarely undergo malignant transformation thought to originate from trichilemmal cyst. Malignant PTT (MPTT) predominantly affects the scalp, eyelids, neck, and face and the treatment recommended being a wide local excision