Pilomatricoma: A Case Report and Intraoral Surgical Approach

    Carla Samily De Oliveira Costa, Larissa Santos Amaral Rolim, Rodrigo Porpino Mafra, Lélia Batista De Souza, Leão Pereira Pinto
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    Studysummary This case report describes a pilomatricoma in a 21-year-old woman, highlighting the diagnostic process and illustrating the potential for intraoral surgical access to minimize scarring.
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    A 21-year-old white female presented with a 2 cm painless lesion in the right nasolabial fold, initially suspected to be a sebaceous cyst. An excisional biopsy via intraoral access was performed for esthetic reasons. Histopathologic examination revealed ghost cells, basaloid cells, keratin, calcifications, and chondroid material, leading to a diagnosis of pilomatricoma. This case highlighted the importance of oral pathologists being aware of skin lesions near the oral mucosa and demonstrated that intraoral surgical excision can avoid visible scarring.
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