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Extensive and ulcerated malignant proliferating trichilemmal (pilar) tumour, arising from multiple, large, degenerated trichilemmal (pilar) cysts.

dc.contributor.authorMorgado, Bruno
dc.contributor.authorAgostini, Patrick
dc.contributor.authorRivero, António
dc.contributor.authorSilva, Nuno
dc.date.accessioned2017-04-07T15:57:09Z
dc.date.available2017-04-07T15:57:09Z
dc.date.issued2016-02
dc.description.abstractWe report a rare case of a 61-year-old homeless man with a 15-year history of multiple trichilemmal cysts that served as a forerunner for the emergence of a malignant proliferating pilar tumour. The patient presented multiple, large, purulent, ulcerated lesions ranging from 10 to 150?mm in diameter, covering most of the scalp, with large areas superimposed by extensive myiasis infestation. The patient presented with no other major clinical findings. A CT scan showed no detectable signs of local or distant metastatic invasion. Initial supportive treatment was implemented. Given the extent of the injury, further surgical excision was considered, which required transfer to a specialised surgical centre. This social case is of educational value, as it can raise clinician awareness about the ability of trichilemmal cysts to undergo malignant transformation. Additionally, it highlights the importance of adequate social assistance structures for patients in need.
dc.identifier.doi10.1136/bcr-2015-209785
dc.identifier.urihttp://hdl.handle.net/10400.1/9626
dc.language.isoeng
dc.peerreviewedyes
dc.relation.isbasedonMEDLINE:26857582
dc.titleExtensive and ulcerated malignant proliferating trichilemmal (pilar) tumour, arising from multiple, large, degenerated trichilemmal (pilar) cysts.
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleBMJ case reports
oaire.citation.volume2016
rcaap.rightsrestrictedAccess
rcaap.typearticle

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