Main Article Content
Abstract
La tumeur trichilemmale proliférante maligne du cuir chevelu est une lésion cutanée qui se produit habituellement chez la femme âgée. Elle se caractérise par une prolifération épithéliale extensive, une architecture infiltrante, des atypies cytonucléaires marquées et de mitoses nombreuses. Les auteurs rapportent un cas chez une femme âgée de 47 ans. Le diagnostic est anatomie-cytologie pathologique. Le traitement est chirurgical consistant en une exérèse complète de la tumeur suivie d’une chirurgicale plastique de reconstruction du cuir chevelu et complétée par une chimiothérapie. Les habitudes socio-culturelles et à la sous-médicalisation pourrait expliquer la mortalité élevée des formes malignes.
ABSTRACT
Malignant proliferating trichilemma tumor of the scalp is a skin lesion that usually occurs on the elderly women scalp. It is characterized by an extensive epithelial proliferation, an infiltrating architecture, marked cytonuclear atypia and numerous mitoses. The authors report a case in a 47-year-old woman. The diagnosis is pathological anatomy-cytology. The treatment is surgical consisting of a complete excision of the tumor followed by a plastic surgical reconstruction of the scalp and supplemented by chemotherapy. Socio-cultural habits and under-medicalization could explain the high mortality of malignant forms.
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References
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- . Leena JB, Sandeep MB, Saldanha C, Megha, Krishnaprasad HV. A histopathological review of scalp tumors: hospital based study. International Journal of Recent Trends in Science and Technology. 2014; 12(2):256-258
- . Chiu CS, Lin CY, Kuo TT, Kuan YZ, Chen MJ, Ho HC et al. Malignant cutaneous tumors of the scalp: a study of demographic characteristics and histologic distributions of 398 Taiwanese patients. J Am Acad Dermatol. 2007; 56(3):448-52. PubMed|Google Scholar
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- . Adu JKE.Tumours of the scalp: a review of ten cases. J US China Med Sc. 2013; 10(90):57-62.
- . Diallo M, Diadie S, Diatta BA, Ndiaye M, Diop A et al. Skin cancers of the face in an African Black population. Arch Otolaryngol Rhinol. 2017; 3(3):095-097.
- . Dieng MT, Diop NN, Déme A, Sy TN, Niang SO, Ndiaye B. Squamous cell carcinoma in black patients: 80 cases. Ann Dermatol Venereol. 2004; 131(12):1055-1057. PubMed|Google Scholar
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- . Atarguine H, Ettalbi S. Tumeurs malignes du scalp: Profil épidémiologique et prise en charge chirurgicale à propos de 52 cas. Faculté de Médecine et de Pharmacie – Marrakech. Thèse N X / 2011-2012. Maroc.
- . Fong PH, Lee ST, Lim Tan SK. Primary scalp cancer in Singapore. Ann Acad Med Singapore 1986; 15:67-70.
- . Muhammad A. Use of Dermal Regeneration Template (Integra) for Reconstruction of Full-Thickness Complex Oncologic Scalp Defects. J Craniofac Surg 2010; 21:905-909.
- . Furnas H. Scalp reconstruction by microvascular free tissue transfert. Ann Plast Surg 1990; 24:431-44.
- . Mustoe TA. Soft tissue reconstructive choices for craniofacial reconstruction. Clin Plast Surg 1995; 22:543-54.
- . Wang HT, Erdmann D, Olbrich KC, Friedman AH, Levin LS, Zenn MR. Free flap reconstruction of the scalp and calvaria of major neuro surgical resections in cancer patients: lessons learned closing large, difficult wounds of the dura and skull. Plast Reconstr Surg 2007; 119:865-72.
- . Mc Combe D, Donato R, Hofer S, Morisson W. Free flaps in the treatment of locally advanced malignancy of the scalp and forehead. Ann Plast Surg 2002; 48:600-15.
- . Richmond HM, Duvic M, MacFarlane DF. Primary and metastatic malignant tumors of the scalp: an update. Am J Clin Dermatol. 2010; 11(4):233-46. PubMed|Google Scholar
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References
. Dawber RPR. Naevi, tumours and cysts of the scalp. In: DawberR, editor. Diseases of the hair and scalp. 3rd ed. Oxford: Blackwell Scientific Blackwell 3emeedition. 1997: 528-63.
. Leena JB, Sandeep MB, Saldanha C, Megha, Krishnaprasad HV. A histopathological review of scalp tumors: hospital based study. International Journal of Recent Trends in Science and Technology. 2014; 12(2):256-258
. Chiu CS, Lin CY, Kuo TT, Kuan YZ, Chen MJ, Ho HC et al. Malignant cutaneous tumors of the scalp: a study of demographic characteristics and histologic distributions of 398 Taiwanese patients. J Am Acad Dermatol. 2007; 56(3):448-52. PubMed|Google Scholar
. Katz TM, Silapunt S, Goldberg LH, Jih MH, Kimyai-Asadi A. Analysis of 197 female scalp tumors treated with Mohs micrographic surgery. J Am Acad Dermatol. 2005; 52(2):291-294. PubMed|Google Scholar
. Conley JJ. Malignant tumors of the scalp. Analysis of 92 cases of malignant epithelial and somatic tumors of the scalp. Plast Reconstr Surg. 1964; 33:1-15. PubMed|Google Scholar
. Jay Ye, MD, PhD, Oscar Nappi, MD, Paul E. Swanson, MD, James W. Patterson, MD and Mark R. Wick, MD. Proliferating pilar tumors. A clinicopathologic study of 76 cases with a proposal for definition of benign and malignant variants
. Assane Diop, Moussa Diallo, Mame Tene Ndiaye, Biram Seck, Saer Diadie, Boubacar Ahy Diatta, Maodo Ndiaye, Zineb Baidouri, Ahmadou Deme, Fatimata Ly, Suzanne Oumou Niang, Assane Kane, Mame Thierno Dieng. Aspects épidémiologiques et anatomo-cliniques des tumeurs du cuir chevelu chez le noir africain.The Pan African Medical Journal. 2019; 34:98. doi:10.11604/pamj.2019.34.98.18123
. Adu JKE.Tumours of the scalp: a review of ten cases. J US China Med Sc. 2013; 10(90):57-62.
. Diallo M, Diadie S, Diatta BA, Ndiaye M, Diop A et al. Skin cancers of the face in an African Black population. Arch Otolaryngol Rhinol. 2017; 3(3):095-097.
. Dieng MT, Diop NN, Déme A, Sy TN, Niang SO, Ndiaye B. Squamous cell carcinoma in black patients: 80 cases. Ann Dermatol Venereol. 2004; 131(12):1055-1057. PubMed|Google Scholar
. Franceschi S, Levi F, Randimbison L, La Vecchia C. Site distribution of different types of skin cancer: new aetiological clues. Int J Cancer. 1996; 67(1):24-28. PubMed|Google Scholar
. Cheng-Sheng CH, Chyi-Yih Lin. Malignant cutaneous tumors of the scalp: A study of demographic characteristics and histologic distributions of 398 Taiwanese patients. J Am Acad Dermatol 2007; 56:448-52.
. Atarguine H, Ettalbi S. Tumeurs malignes du scalp: Profil épidémiologique et prise en charge chirurgicale à propos de 52 cas. Faculté de Médecine et de Pharmacie – Marrakech. Thèse N X / 2011-2012. Maroc.
. Fong PH, Lee ST, Lim Tan SK. Primary scalp cancer in Singapore. Ann Acad Med Singapore 1986; 15:67-70.
. Muhammad A. Use of Dermal Regeneration Template (Integra) for Reconstruction of Full-Thickness Complex Oncologic Scalp Defects. J Craniofac Surg 2010; 21:905-909.
. Furnas H. Scalp reconstruction by microvascular free tissue transfert. Ann Plast Surg 1990; 24:431-44.
. Mustoe TA. Soft tissue reconstructive choices for craniofacial reconstruction. Clin Plast Surg 1995; 22:543-54.
. Wang HT, Erdmann D, Olbrich KC, Friedman AH, Levin LS, Zenn MR. Free flap reconstruction of the scalp and calvaria of major neuro surgical resections in cancer patients: lessons learned closing large, difficult wounds of the dura and skull. Plast Reconstr Surg 2007; 119:865-72.
. Mc Combe D, Donato R, Hofer S, Morisson W. Free flaps in the treatment of locally advanced malignancy of the scalp and forehead. Ann Plast Surg 2002; 48:600-15.
. Richmond HM, Duvic M, MacFarlane DF. Primary and metastatic malignant tumors of the scalp: an update. Am J Clin Dermatol. 2010; 11(4):233-46. PubMed|Google Scholar
. Bernard Cribier. Carcinomes annexiels. Manifestations dermatologiques des maladies du système hématopoïétique et oncologie dermatologique. 2009;3:161-165. PubMed|Google Scholar
. Ksir s. Carcinomes avancés du cuir chevelu: à propos de 09 cas. Thèse Med Fès 2015;750.