Cylindroma Mimicking Neurofibroma

Abstract

Introduction

Cylindroma is an appendageal tumour of the skin that is usually benign in nature, arising from pluripotent stem cells in the follicular-sebaceous-apocrine unit. Usually, multiple cylindromas are a component of Brooke-Spiegler syndrome (BSS) or occur only as skin lesions in familial cylindromatosis (FC). The site of the occurrence of tumours in this condition is the scalp.

Case Report

Here, we are reporting a case of multiple cylindromas in a 47-year-old female who presented with lesions on the face and scalp that were initially suspected to be neurofibroma as there were no features of Brooke-Spiegler syndrome or significant familial history pertaining to this presentation, but the histopathological diagnosis was suggestive of cylindroma.

Discussion

These are skin appedegeal tumours which commonly occur in the face and scalp. Their presentation resembles that of Neurofibromatosis and hence histopathological examination holds significance here. The main modality of treatment is excision of the lesions with management of the vascularity around the lesions, if present.