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Multiple nuchal-type fibromas on the scalp: a case report
Do Hun Kim1, Tae Han Kim1, Nam Hee Sung1
1Department of Dermatology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
Annals of Dermatology
|April 3, 2015
Summary
Nuchal-type fibroma, a rare benign tumor, typically presents on the neck. This case details a unique presentation of multiple scalp nodules diagnosed as nuchal-type fibroma in a 32-year-old man.
Area of Science:
- Dermatopathology
- Surgical Pathology
- Oncology
Background:
- Nuchal-type fibroma is a rare, benign fibrous tumor.
- It characteristically presents as a solitary, firm, subcutaneous mass on the posterior neck.
- Histological features include dense collagen bundles, sparse fibroblasts, fat, and entrapped nerves.
Observation:
- A 32-year-old man presented with multiple nodules on his scalp.
- The nodules had been developing over a 6-year period.
- Clinical presentation was atypical for the usual nuchal-type fibroma.
Findings:
- Histopathological examination of the scalp nodules revealed features consistent with nuchal-type fibroma.
- The microscopic findings included dense hypocellular collagen bundles, scattered fibroblasts, interspersed fat, and entrapped nerve fibers.
- This confirmed the diagnosis despite the unusual location and multiplicity.
Implications:
- This case expands the known clinical spectrum of nuchal-type fibroma.
- It highlights the importance of histopathological correlation for diagnosing rare tumors.
- Surgical excision is a viable treatment option for symptomatic or cosmetically concerning lesions.
