Case Report

Volume: 7 | Issue: 6 | Published: Aug 26, 2023 | Pages: 118 - 120 | DOI: 10.24911/ejmcr/173-1669004762

Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery


Authors: Sana Naeem orcid logo , Iqra Iftikhar , Rab Nawaz Maken , Misbah Masood , Abubaker Shahid


Article Info

Authors

Sana Naeem

Department of Radiation Oncology, INMOL Cancer Hospital, Lahore, Pakistan

orcid logo ORCID

Iqra Iftikhar

Department of Radiation Oncology, INMOL Cancer Hospital, Lahore, Pakistan

Rab Nawaz Maken

Department of Radiation Oncology, INMOL Cancer Hospital, Lahore, Pakistan

Misbah Masood

Department of Radiation Oncology, INMOL Cancer Hospital, Lahore, Pakistan

Abubaker Shahid

Department of Radiation Oncology, INMOL Cancer Hospital, Lahore, Pakistan.

Publication History

Received: November 21, 2022

Revised: May 02, 2023

Accepted: May 02, 2023

Published: August 26, 2023


Abstract


Background: Proliferating trichilemmal tumors (PTTs) are rare benign neoplasms that arise from the outer sheath of a hair follicle. Group III PTTs are high-grade malignant tumors reported to exhibit a high recurrence rate, lymph nodes, and a tendency to develop distant metastasis. Case Presentation: A 25 years old female patient was presented to us with a history of recurring soft tissue scalp lesions. The lesion recurred three times within 1 year. There was no history of trauma. Every time the lesion was excised but no histopathology of the specimen was done. Upon the third recurrence, it came out to be a malignant proliferating trichilemmal tumor (MPTT). Considering the young age of the patient and keeping in view the history of multiple recurrences with positive deep margin even after the third surgery, the patient was planned external beam radiotherapy (RT) 50 Gy/25 fx to scalp with 9 Mev electron using 0.5 cm bolus. The post-RT follow-up currently of 2 years is uneventful. Conclusion: The mainstay of treatment is surgery with wide surgical margins as local recurrence is most common in MPTT. Adjuvant RT was used in this case to prevent recurrence.

Keywords: Proliferating trichilemmal tumors, scalp lesion, green


Pubmed Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. EJMCR. 2023; 26 (August 2023): 118-120. doi:10.24911/ejmcr/173-1669004762

Web Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. https://ejmcr.com/articles/1058 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1669004762

AMA (American Medical Association) Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. EJMCR. 2023; 26 (August 2023): 118-120. doi:10.24911/ejmcr/173-1669004762

Vancouver/ICMJE Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. EJMCR. (2023), [cited December 25, 2024]; 26 (August 2023): 118-120. doi:10.24911/ejmcr/173-1669004762

Harvard Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid (2023) Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. EJMCR, 26 (August 2023): 118-120. doi:10.24911/ejmcr/173-1669004762

Chicago Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. "Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery." 26 (2023), 118-120. doi:10.24911/ejmcr/173-1669004762

MLA (The Modern Language Association) Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid. "Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery." 26.August 2023 (2023), 118-120. Print. doi:10.24911/ejmcr/173-1669004762

APA (American Psychological Association) Style

Sana Naeem, Iqra Iftikhar, Rab Nawaz Maken, Misbah Masood, Abubaker Shahid (2023) Prevention of recurrence in malignant proliferating trichilemmal tumor of scalp in young female using adjuvant radiation therapy after surgery. , 26 (August 2023), 118-120. doi:10.24911/ejmcr/173-1669004762