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Journal of Oral and Maxillofacial Surgery

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DOI: 10.1016/j.joms.2017.08.010


This case report describes an unusually large facial pilomatrix carcinoma (PC) in a 60-year-old man. This PC had been growing slowly for 11 months and had recently ulcerated. It measured 9 cm × 7 cm × 5 cm. Initial punch biopsy findings were inconclusive. The tumor was excised in total with 5-mm margins in a supra-superficial musculoaponeurotic system plane. The defect was reconstructed with a cervicofacial bilobed rotational advancement flap. Histopathologic findings confirmed the diagnosis of PC. There was no lymph node spread or distant metastasis. The patient recovered with a good esthetic result. This case represents one of the largest facial PCs reported in the literature. Diagnostic challenges are discussed, and the literature is reviewed.


Accepted version. Journal of Oral and Maxillofacial Surgery, Vol. 76, No. 2 (February 2018): 368-373. DOI. © 2018 Elsevier (WB Saunders). Used with permission.

Yeshwant B. Rawal was affiliated with University of Washington at the time of publication.

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