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Two cases of folliculosebaceous cystic hamartoma
1Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan. shintaro-g500@jcom.home.ne.jp
Insights
Folliculosebaceous cystic hamartoma (FSCH) is a rare skin growth. This report details two new cases and reviews 34 previously documented instances of FSCH.
Area of Science:
- Dermatopathology
- Histopathology
- Cutaneous Neoplasms
Background:
- Folliculosebaceous cystic hamartoma (FSCH) is an uncommon benign skin tumor.
- It is characterized by abnormal development of hair follicle and sebaceous gland structures.
- FSCH is often associated with mesenchymal tissue proliferation.
Observation:
- Two cases of FSCH are presented with detailed histopathological analysis.
- Patient 1: 60-year-old male with a scalp nodule.
- Patient 2: 70-year-old male with a persistent ear nodule.
Findings:
- A review of English literature identified 34 reported cases of FSCH.
- Clinical presentation typically involves asymptomatic nodules on the head and neck.
- Lesions are usually firm, skin-colored, and under 25 mm in diameter.
Implications:
- Histopathological differentiation from similar entities like sebaceous trichofolliculoma is crucial.
- Understanding FSCH aids in accurate diagnosis and management of rare cutaneous hamartomas.
- Further research may elucidate the specific developmental pathways of FSCH.
Abstract:
Folliculosebaceous cystic hamartoma (FSCH) is a rare cutaneous hamartoma composed of dilated folliculosebaceous units associated with mesenchymal elements. Two cases of FSCH with typical histopathological features are reported. Patient 1 was a 60-year-old man presented with a normal skin-coloured asymptomatic nodule on his scalp. Patient 2 was a 70-year-old man with an asymptomatic nodule on his right auricle that had persisted for the previous 15 years. In all, 34 cases of FSCH have been reported in the English literature. Clinically, the lesions are asymptomatic, usually rubbery to firm in consistency, and usually occur on or above the neck (> 90%). Most lesions do not exceed 25 mm in diameter (> 90%). Histopathologically, FSCH shares several similar features to sebaceous trichofolliculoma, but it is usually possible to differentiate these two tumours.
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