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Multiple facial cylindromas: a case report
Amiya Kumar Nath1, Carounanidy Udayashankar
1Indira Gandhi Medical College and Research Institute, Puducherry Pondicherry, Pondicherry, India.
Dermatology Online Journal
|March 9, 2012
Summary
Multiple cylindromas, rare benign skin tumors, typically affect the scalp. This case highlights an unusual presentation of multiple facial cylindromas without associated syndromes.
Area of Science:
- Dermatology
- Oncology
Background:
- Cylindroma is a benign skin tumor originating from the folliculo-sebaceous-apocrine unit.
- Multiple cylindromas are often associated with Brooke-Spiegler syndrome (BSS) or familial cylindromatosis (FC), typically presenting on the scalp.
Observation:
- A 70-year-old woman presented with multiple facial cylindromas of 7 years duration.
- Histopathological examination confirmed the diagnosis of cylindroma.
- No other features of BSS or family history suggestive of FC were present, and the scalp was unaffected.
Findings:
- The patient exhibited multiple cylindromas exclusively on the face.
- This presentation is atypical, differing from the usual scalp predilection and common syndromic associations.
Implications:
- This case expands the clinical spectrum of cylindroma presentation.
- Highlights the importance of considering facial cylindromas even in the absence of typical BSS or FC features.
- Underscores the need for thorough histopathological evaluation for accurate diagnosis and management.
