[Familial presentation of multiple scalp tumors]

A 74-year-old woman was referred for evaluation and treatment of a tumor measuring 3 x 2 cm in the left preauricular region that has been progressively growing in the past years. Physical examination revealed an hemispheric and firm tumor with reddish coloration and telangiectases. The patient has been using a wig during the past 15 years to cover the scalp lesions. The patient underwent complete surgical excision of the scalp and the defect was reconstructed with partial-thickness grafts. Given the long-standing evolution and extension of the tumors involving the scalp and face we suspected a familial cylindromatosis syndrome therefore, we revised her six children observing scalp tumors in two daughters. The tumors were excised and the histological findings confirmed the diagnosis of cylindromas.