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  • Title: [Gigantic proliferating trichilemmal cyst of the scalp with central carcinoma and lymph node metastasis].
    Author: Kruse-Lösler B, Kleinheinz J, Werkmeister R, Piffko J, Metze D, Joos U.
    Journal: Mund Kiefer Gesichtschir; 1998 Jul; 2(4):216-9. PubMed ID: 9738372.
    Abstract:
    We report the case of a 77 year old woman with a giant proliferating trichilemmal cyst of the scalp and a central squamous-cell carcinoma. Six months after radical tumor-excision and dissection of the locoregionary lymph nodes the patient developed retroclavicular lymph node metastases. The tumor develops from cells of the hair matrix and tends to recur after excision; in rare cases malignant transformation may occur. We suggest radical excision and complete histological examination of the tumor. In cases of malignancy, lymph node-dissection is sometimes necessary. In these cases close postoperative follow-up of the patient is mandatory.
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