CASE 647: PILOMATRIXOMA of MALHERBE, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Dr LÊ THÔNG LƯU, Prof. NGUYỄN SÀO TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

 

A 11 year-old female patient with a small cyst on left side of her neck for 5 months. A TB regimen started for a while.

Ultrasound detected a cyst of subcutaneous layer on left side of the neck, well-limited, round, with a dark line adhered the skin. Echostructure is mixed: cystic and some trabecular thicker semisolid structures inside which are like septation. It exists some septa with colored signal arterial type.

Discussion:

Common cystic lesion in subcutaneous layer adhering the skin usually named sebaceous cyst, epidermoid cyst. But in this case, a very small dark incontinuous in upper border of the cyst helps thinking to a skin hair. That is the key of a pilomatrixoma which is still a rare entity of habit in clinic.

The cyst was entirely removed.

Histopathogic result is a benign tumor of

the hair follicle matrix, name Pilomatrixoma or  Calcifying Epithelioma of Malherbe.

References:

CASE 646: WARTHIN'S TUMOR, Dr PHAN THANH HẢI, Dr LÊ THANH LIÊM, Dr NGUYỄN TUẤN CƯỜNG, Dr LÊ THÔNG LƯU, MEDIC MEDICAL CENTER, HCMC, VIETNAM

A 69 year-old male doctor patient with sputum cough for one week went over to Medic for a check-up.

Ultrasound detected hepatosplenomegaly, and thickening of the wall of sigmoid colon with lymph nodes inside abdomen. On the neck, a parotid tumor at the lower pole (tail of parotid) exists on the right side.

Pathologic result of sigmoid colon was tubular adenoma and slight dysplasia.

Gastroendoscopy revealed an ulcer at lesser curvature and edema of gastric corpus.

Core biopsy of the parotid tumor proved Warthin 's tumor of the right parotid with pathologic result.

ABSTRACT

A male doctor 69 year-old patient with sputum cough for one week.  He got a submandibular mass in suspecting lymphoma or parotid tumor. But on the neck, ultrasound revealed parotid tumor that was concluded a Warthin 's tumor with pathological result of core biopsy.

Morever the doctor patient suffers from a benign tumor of sigmoid colon, gastritis with ulcer and hepatosplenomegaly, and fortunatly gets over the lymphoma haunting.

References

1. Warthin Tumor: Papillary Cystadenoma Lymphomatosum "occurs in the tail of the parotid in aged men". [DeGowin's Diagnostic Examination, 2004].

2.