[Faline]

This 10 year-old boy presented with a slowly-growing, hard tumor of the left parotid region.

The mass was approached via a standard parotidectomy incision. The tumor was well encapsulated. and separated easily from surrounding skin and parotid tissue. The histologic diagnosis was pilomatrixoma (pilomatricoma).

What is Pilomatrixoma?

Pilomatrixoma, or calcifying epithelioma of Malherbe, is an uncommon, benign, epithelial tumor of the skin that often arises in head and neck regions, in the first 2 decades of life. In 88% of cases, the presenting symptom was a hard, slow-growing, subcutaneous tumor. The lesion was associated with pain and inflammation in 7 cases (18%) and abscess or ulceration in 4 cases (11%). Twenty-nine patients presented with single nodules and 4 presented with multiple occurrences. The lesions were located on the face (cheek, eyelid, or forehead) in 20 cases (53%), on the neck in 8 cases (21%), in the parotid region in 8 cases (21%), and on the scalp in 2 cases (5%).

Diagnosis is usually easy based on clinical findings, but computed tomographic scan is helpful, especially in cases involving tumors located in the parotid region. Spontaneous regression is never observed. Complete surgical excision is the treatment of choice.

[Jere]

hardly no scaring

[Rusty666]

[collaredgirl65]

[Dynamo47]

Thanks as I have heard/seen it before but never had the information behind it. The surgeon was very talented as there was minimal scarring.

[MorbidBabe]

not bad at all, now if only they could have put my ears back together with hardly a scar :\ had mastroid surgery 3 times, major scars behind my ears