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Cylindroma: an update.

Clarice Jordão1, Taissa Canedo de Magalhães, Tullia Cuzzi

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This review covers cylindroma, a rare skin adnexal tumor. While often benign and more common in women, malignant forms can arise, particularly in Brooke-Spiegler syndrome, with a known genetic link.

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Area of Science:

  • Dermatology
  • Oncology
  • Genetics

Background:

  • Cylindroma is a rare neoplasm originating from cutaneous adnexal structures, predominantly affecting the scalp and face.
  • Both benign and malignant forms exist, with benign cylindromas being more common in women and presenting as solitary or multiple autosomal variants.
  • Malignant transformation is a concern, especially in multiple variants and in the context of Brooke-Spiegler syndrome.

Purpose of the Study:

  • To review the current literature on cylindroma.
  • To summarize key aspects of cylindroma, including epidemiology, clinical presentation, and histopathological considerations.
  • To highlight the genetic basis and malignant potential of cylindromas, particularly in Brooke-Spiegler syndrome.

Main Methods:

  • Literature review of recent studies on cylindroma.
  • Synthesis of information regarding tumor origin, classification, and clinical behavior.
  • Analysis of histopathological findings and genetic associations.

Main Results:

  • Benign cylindromas are more prevalent in females, with both solitary and multiple autosomal forms.
  • Malignant cylindromas are associated with Brooke-Spiegler syndrome.
  • Malignant transformation occurs more frequently in multiple cylindroma variants compared to solitary tumors.

Conclusions:

  • The histopathological basis and precise origin of cylindromas remain subjects of ongoing research and debate.
  • A genetic predisposition is established for cylindromas occurring within the Brooke-Spiegler syndrome.
  • Understanding the factors influencing malignant transformation is crucial for patient management.