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Case Report

J Liaquat Uni Med Health Sci. 2008; 7(2): 136-138

An Unusual Presentation of Pilomatrixoma

Mehwash Kashif, Navid Rashid Qureshi and M. Abrar Barakzai.

A case of twenty years old female is reported, which was treated inappropriately. She complained
of a painless lump located on the right cheek at middle half of the face. An early diagnosis
of sebaceous cyst was made. Excision was performed and histopathological findings revealed
Pilomatrixoma. Pilomatrixoma is an uncommon, harmless, skin lesion derived from hair
matrix cells. It is composed of an epithelial component of the most proximal portion of hair follicle.
It is most often diagnosed in young children but may also affect adults. Single skincoloured
or purplish lesions arise on the head and neck, but they may occur at any site. The key
to diagnosis is identification of darkly stained ‘basophilic cells’ and ‘shadow cells’. Calcium deposits
are found in most of the lesions. Complete surgical excision is the treatment with rare
chances of complications.

Key words: Pilomatricoma. Epithelioma. Calcium. Treatment.

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