Pilomatricoma

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Painless superficial mobile swelling of the left neck

Patient Data

Age: 6 years
Gender: Male
ultrasound

A subcutaneous well-defined oval heterogeneously hypoechoic mass, containing microcalcifications, with posterior acoustic enhancement and mildly increased echogenicity of the surrounding subcutaneous fat. On color Doppler interrogation, flow was mainly peripheral.

Case Discussion

Pilomatricoma is benign skin tumor arising from the hair cortex cells . The cervico-facial location and female sex are common denominators. Multiple locations and involvement of the limbs are rare.

Ultrasound offers a simple and effective way to propose the diagnosis of pilomatricoma for a cervico-facial subcutaneous lesion. Surgical excision and histopathological examination are required to confirm the diagnosis.

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