Pilomatricoma in the Neck of an Adult Male

Pilomatricoma, a benign tumor originating from the hair follicle's outer sheath cells, is more common in children and young adults, particularly Caucasians, with a higher incidence in females. It typically presents as a solitary, painless, slow-growing nodule, often located in the head and neck region. Diagnosis is based on histopathological features, showing a mix of anucleate "ghost" cells and small round blue cells, with calcifications and possible bone formation. The case described involved a 22-year-old man with a pilomatricoma on his neck, which was surgically excised. Histopathological examination confirmed the diagnosis, and the patient had no recurrence at the last follow-up. The tumor is rare in adults, and malignant transformation is uncommon, with standard treatment being complete surgical excision and low recurrence rates.