A Large Mass Displaying a Malignant Character on the Forearm: A Rare Case of Upper Extremity Pilomatrixoma

In this study, a 50-year-old male patient had a painless swelling on his right forearm. The lump on the forearm started one year ago and increased in size in the last two months. The mass was 3x6 cm and had a malignant appearance on radiological imaging. The case was reported as pilomatrixoma in the histopathological examination after marginal excision. In this case report, we emphasized that pilomatrixoma is one of the diagnoses we considered in mass formations that can be seen in the upper extremity, although rare. The large mass displaying a malignant character in radiological imaging can be pilomatrixoma, and the Tru-cut biopsy before the final surgery may help diagnosis by preventing the surgeons from aggressive surgical treatment. The marginal excision shall be enough in the definitive treatment. With this study, we aimed to discuss the place of pilomatrixoma in the orthopedic literature, which is published chiefly by otolaryngology, pathology, and dermatology clinics and lacks in the orthopedic literature because it rarely involves the extremities.