Imaging and review of a large pre-auricular pilomatrixoma in a child  

作　　者：Kenneth R Whittemore Michael Cohen 

机构地区：[1]Department of Otolaryngology and Communications Enhancement, Children's Hospital Boston, Boston, MA 02115, United States [2]Department of Otology and Laryngology, Harvard Medical School, Children's Hospital Boston, Boston, MA 02115, United States [3]Department of Otolaryngology, Boston University Medical Center, Boston, MA 02118, United States

出　　处：《World Journal of Radiology》2012年第5期228-230,共3页世界放射学杂志（英文版）（电子版）

基　　金：Supported by Children’s Hospital Boston

摘　　要：A 10-year-old girl presented with a mildly tender mass in the right preauricular region. The mass became larger, and the overlying skin turned purple. There was no clinical response to a course of either cephalexin or clarithromycin. The remainder of the head and neck examination was normal including normal facial nerve function. Lyme titers and a computed tomographic (CT) scan with contrast of the facial region were obtained. The CT scan demonstrated the lesion to be superficial to the parotid gland. The lyme titer was elevated and doxycycline was begun. The mass appeared to reduce in size after doxycycline treatment, but then grew and turned erythematous. The lesion was surgically excised and was vascular with calcification and cheesy inclusions. The mass was quite close to the skin and the clinical diagnosis at the time of surgery was a pilomatrixoma, which was corroborated on pathological evaluation.A 10-year-old girl presented with a mildly tender mass in the right preauricular region. The mass became larger, and the overlying skin turned purple. There was no clinical response to a course of either cephalexin or clarithromycin. The remainder of the head and neck examination was normal including normal facial nerve function. Lyme titers and a computed tomographic (CT) scan with contrast of the facial region were obtained. The CT scan demonstrated the lesion to be superficial to the parotid gland. The lyme titer was elevated and doxycycline was begun. The mass appeared to reduce in size after doxycycline treatment, but then grew and turned erythematous. The lesion was surgically excised and was vascular with calcification and cheesy inclusions. The mass was quite close to the skin and the clinical diagnosis at the time of surgery was a pilomatrixoma, which was corroborated on pathological evaluation.

关 键 词：PILOMATRIXOMA PEDIATRICS Head and NECK OTOLARYNGOLOGY 

分 类 号：R739.5[医药卫生—肿瘤]