Dermal cylindroma (turban tumor). Case report

Area of Science:

• Dermatology
• Surgical Oncology

Background:

• Dermal cylindromas, or turban tumors, are rare benign adnexal neoplasms.
• Massive presentations are exceptionally uncommon, posing significant surgical challenges.

Observation:

• A patient presented with an extensive dermal cylindroma involving the entire scalp and forehead.
• Additional tumors were present on the face, neck, chest, shoulders, and back.
• The nose and lip exhibited features resembling rhinophyma and were treated with dermabrasion.

Findings:

• A two-stage total scalping procedure with skin grafting effectively managed the scalp cylindroma.
• Surgical excision and closure were performed for tumors on the face, neck, chest, shoulders, and back.
• Post-operative follow-up revealed no recurrence on the scalp, but papular changes on the nose and lip suggest possible regrowth.

Implications:

• This case highlights the feasibility of aggressive surgical management for extensive dermal cylindromas.
• The findings underscore the importance of long-term monitoring for potential recurrence, particularly in treated facial areas.
• Further research into the etiology and optimal management strategies for massive dermal cylindromas is warranted.