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Pilomatricoma of the head and neck: a retrospective review of 179 cases Lan MY; Lan MC; Ho CY; Li WY; Lin CZArch Otolaryngol Head Neck Surg 2003[Dec]; 129 (12): 1327-30OBJECTIVE: To describe the clinical presentations and management of pilomatricoma, formerly known as pilomatrixoma, of the head and neck. DESIGN: Retrospective study. SETTING: Tertiary care center. PATIENTS: The study included 179 patients with a diagnosis of pilomatricoma of the head and neck. INTERVENTION: All patients underwent surgical excision for pilomatricoma of the head and neck between 1991 and 2002. RESULTS: Pilomatricoma occurred at any age (mean age, 29.8 years); 45.3% of the cases occurred in patients younger than 18 years. The female-male ratio was 0.97:1. The average size of the lesion was 1 cm. The most common sites of occurrence were the neck (30.2%), cheeks (16.8%), scalp (16.2%), and brow and periorbital area (14.0%). Multiple occurrence was found in 1 case. Two of 179 tumors recurred after surgical excision. CONCLUSIONS: Because preoperative diagnosis of pilomatricoma is usually incorrect, careful clinical examination and a high index of suspicion would result in a more accurate diagnosis. Complete surgical excision is the treatment of choice. Otolaryngologists should consider pilomatricoma in the differential diagnosis of neck masses.|*Hair Diseases/diagnosis/epidemiology/surgery[MESH]|*Head and Neck Neoplasms/diagnosis/epidemiology/surgery[MESH]|*Pilomatrixoma/diagnosis/epidemiology/surgery[MESH]|*Skin Neoplasms/diagnosis/epidemiology/surgery[MESH]|Adolescent[MESH]|Adult[MESH]|Age Distribution[MESH]|Aged[MESH]|Aged, 80 and over[MESH]|Biopsy, Needle[MESH]|Child[MESH]|Child, Preschool[MESH]|Diagnosis, Differential[MESH]|Female[MESH]|Humans[MESH]|Infant[MESH]|Male[MESH]|Middle Aged[MESH]|Neoplasm Recurrence, Local/epidemiology[MESH]|Patient Selection[MESH]|Preoperative Care/methods[MESH]|Retrospective Studies[MESH]|Sex Distribution[MESH]|Taiwan/epidemiology[MESH]|Tomography, X-Ray Computed[MESH]|Treatment Outcome[MESH] |