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Solitary cylindroma with malignant transformation
Cherry Bansal1, Mayanka Batra, Nirupma Lal
1Department of Pathology, Era's Lucknow Medical College and Hospital, Lucknow, India.
Indian Journal of Dermatology
|May 23, 2012
Summary
A rare malignant cylindroma on the scalp was successfully treated. This aggressive tumor showed no recurrence or metastasis 15 months post-surgery, highlighting effective management of rare scalp tumors.
Area of Science:
- Dermatopathology
- Surgical Oncology
Background:
- Malignant cylindroma, a rare adnexal tumor, can arise from benign cylindromas.
- Malignant transformation of solitary cylindromas, though infrequent, is associated with aggressive behavior, including local invasion and metastasis.
Purpose of the Study:
- To document a rare case of malignant cylindroma.
- To highlight the clinical presentation and successful management of a solitary malignant cylindroma on the scalp.
Main Methods:
- A 59-year-old female patient presented with a rapidly progressive, recurrent scalp tumor.
- Surgical excision of the 6.5 cm diameter tumor.
- Histopathological examination confirmed malignant cylindroma.
Main Results:
- The patient underwent surgical resection of the malignant cylindroma.
- Postoperative follow-up at 15 months showed no evidence of recurrence or metastasis.
- The patient remained disease-free.
Conclusions:
- Malignant cylindroma, even in solitary form, requires aggressive management due to its potential for invasive growth.
- Complete surgical excision can lead to favorable outcomes, as demonstrated by the disease-free status of the patient at 15 months.
- This case underscores the importance of vigilant follow-up for patients with cylindroma, particularly following malignant transformation.
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