An 18-month-old girl presented with a 1-year history of a slow-growing mass in the right earlobe. There were no symptoms, such as tenderness or discharge, associated with the mass. She had no history of underlying medical disease or trauma. On physical examination, a 1.5 × 1.0-cm, firm, nodular, angulated, pinkish, nontender mass was observed in the posterior aspect of the right earlobe (Figure , A). The skin over the mass was semitransparent, and the mass moved freely beneath the skin. Under suspicion of a tumorous lesion, complete excision was performed after the patient received general anesthesia. Histopathologic findings were characteristic for 2 cell types; basaloid cells with a nucleus were present in the periphery, and ghost cells without a nucleus were present in the center (Figure , B). Six months after surgery, the wound had healed well, and there has been no recurrence.
Diagnosis
B. Pilomatricoma
DiscussionPilomatricoma is a benign tumor that originates from hair follicle matrix cells. [1][2][3][4][5][6][7] It occurs frequently during the first 2 decades of life, especially in children 10 years or younger, and appears more in females than in males. 1,3,[6][7][8] The head and neck are the most commonly involved regions, particularly the neck and preauricular regions. 1,3,6,8 Pilomatricoma is rare in the auricle. 3,6