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Updated: Jun 12, 2026
09:53
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
[Giant scalp mass]
J Deutsch1, D Trick, K-W Delank
1Hals-Nasen-Ohren-Klinik, Klinikum der Stadt Ludwigshafen. deutschj@klilu.de
HNO
|June 26, 2010
Summary
A giant pilomatricoma, a rare benign skin tumor originating from hair matrix cells, presented as a large, painless, bleeding mass on a man's head. Surgical excision was successful, with no skull infiltration observed.
Area of Science:
- Dermatology
- Surgical Pathology
Background:
- Pilomatricoma is a rare, benign skin neoplasm originating from hair matrix cells.
- These tumors are most commonly found in the head and neck region.
Observation:
- A 55-year-old man presented with a progressively growing, painless, bleeding, fist-sized tumor on the left parietal region of his head.
- The tumor had a partly livid and ulcerated surface with light-yellow chalky material and was pediculated, overlying the left parietal region and auricle.
Findings:
- The mass was totally excised without observed infiltration of the skull.
- Histopathological examination confirmed the diagnosis of a giant pilomatricoma.
Implications:
- This case highlights the presentation and successful management of an unusually large pilomatricoma.
- Understanding the characteristics of giant pilomatricoma is crucial for accurate diagnosis and surgical planning in head and neck oncology.
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