Source:Journal of Oral and Maxillofacial Surgery
Author(s): Sapna Lohiya, Yeshwant B. Rawal, Jasjit K. Dillon
This case report describes an unusually large facial pilomatrix carcinoma (PC) in a 60-year-old man. This PC had been growing slowly for 11 months and had recently ulcerated. It measured 9cm x 7cm x 5cm. An initial punch biopsy was inconclusive. The tumor was excised in total with 5mm margins in a supra-superficial musculoaponeurotic system (SMAS) plane. The defect was reconstructed with a cervicofacial bilobed rotational advancement flap. Histopathology confirmed the diagnosis of PC. There was no lymph node spread or distant metastasis. The patient recovered with a good esthetic result. This case represents one of the largest facial PCs reported in literature. Diagnostic challenges are discussed and literature is reviewed.
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