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Intermediate Technical IVT

Pilomatrixoma

A benign hair follicle tumor most common in children, typically requiring complete surgical excision to prevent recurrence.

Full Definition

Pilomatrixoma is a benign tumor arising from hair follicle matrix cells, most commonly presenting as a solitary, firm, calcified nodule in children and young adults. The tumor characteristically occurs on the head, neck, or upper extremities and may demonstrate a tent sign when the overlying skin is stretched. Complete surgical excision is the treatment of choice, as incomplete removal may lead to recurrence. The tumor has a characteristic histologic appearance with ghost cells and foreign body giant cell reaction, making pathologic confirmation valuable for definitive diagnosis.

Usage

Usage note: Alternative spelling pilomatricoma is also acceptable.

In Context

  • "Complete excision of the pilomatrixoma was performed with clear margins." — Operative note
  • "The calcified nodule demonstrated the characteristic tent sign of pilomatrixoma." — Clinical examination

Also known as

calcifying epithelioma of Malherbe pilomatricoma

Don't confuse with

epidermoid cyst lipoma calcified lymph node

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