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Cylindroma - Hair and Scalp
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Cylindroma - Hair and Scalp

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Contributors: Chris G. Adigun MD, Belinda Tan MD, PhD, Mary Gail Mercurio MD, Jeffrey D. Bernhard MD, Lowell A. Goldsmith MD, MPH
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Synopsis

Cylindroma, also known as a dermal eccrine cylindroma, is a benign tumor that occurs predominately on the face and scalp, although it may occur on any part of the body. It is most often a solitary lesion and is not considered to be heritable. The tumor ranges in size from just a few millimeters to several centimeters in diameter. Cylindromas characteristically occur in middle-age to elderly individuals, and women are affected more often than men. The tumors are commonly slow growing and may be painful or asymptomatic. The feel or consistency of cylindromas is typically firm and rubbery; however, ossification has been reported to occur, which would make the texture firmer. Lesions range in color from pinkish-red to blue.

Multiple cylindromas may occur in the dominantly inherited Brooke-Spiegler syndrome (familial autosomal dominant cylindromatosis). In this context, the cylindromas are so numerous that they may cover the scalp like a turban. This condition is also associated with numerous trichoepitheliomas and milia. The syndrome results from a mutation in the CYLD1 gene on chromosome 16q12-13.

Codes

ICD10CM:
D23.4 – Other benign neoplasm of skin of scalp and neck

SNOMEDCT:
274903001 – Cylindroma of skin

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

In the familial form, lesions may be widespread and clinically resemble neurofibromatosis.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 06/26/2018
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Cylindroma - Hair and Scalp
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Cylindroma : Chronic duration lasting years, Frontal scalp, Smooth nodule, Vertex scalp
Clinical image of Cylindroma
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