Published August 19, 2021 | Version V3
Journal article Open

Trichilemmal cyst of the neck: case report and review of the literature

  • 1. Otorhinolaryngology and Head and Neck Surgery Department, Cheikh Khalifa Hospital, University Mohammed 6 of Health Sciences, Casablanca, Morocco

Description

Introduction: Trichilemmal cysts are lesions originating in the isthmus of the hair follicle. They are more common in women and occur in 90% on the scalp.

Presentation of case: A 10-year-old female patient presented with a hard, slightly painful, nonexophytic mass in the right cervical region (Ia). After surgical resection in healthy margins, the diagnosis of trichilemmal cyst was made on histopathological examination.

Discussion: The age of the patient as well as the cervical location of this type of lesion is an extremely rare presentation of trichilemmal cyst. Follow-up is rigorous in search of a triad: ichthyosis, keratosis, deafness, particularly in this patient.

Conclusion: Close follow-up in this clinical case is indicated because the risk of malignant degeneration and development of similar lesions is present.

Keywords: Follicular cyst; KID syndrome; Trichilemmal cyst; Neck surgery; Trichilemmal carcinoma

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