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  • Title: [Multiple ossifying trichilemmal cysts of the scalp: a familial case].
    Author: Mommers XA, Henault B, Aubriot MH, Trost O, Malka G, Zwetyenga N.
    Journal: Rev Stomatol Chir Maxillofac; 2012 Feb; 113(1):53-6. PubMed ID: 22056174.
    Abstract:
    INTRODUCTION: The trichilemmal cyst, also called pilar cyst, is a dermal epithelial cyst originating from the pilar follicle. It usually occurs in the scalp. Hereditary and ossifying cases are rare. CASE REPORT: We report the case of a 61-year-old woman presenting with familial multiple trichilemmal cysts, located in the scalp. The histological examination after surgical exeresis confirmed the diagnosis. The trichilemmal cysts featured intra-cystic ossification. The wide dimension of the lesions dimension imposed an extensive surgical scalp exeresis. Reconstruction was performed with a flap after skin expansion. DISCUSSION: The trichilemmal cyst is a benign tumor of skin appendages with a slow outcome. Multiple locations may require an extensive surgical scalp exeresis and lead to a problematic reconstruction. Hereditary cases require familial follow-up to prevent such problems.
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