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Dural Angiomatosis - PHACES
Joseph Junewick, MD FACR
over 8 years ago
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Case History


Child with palpable mass of forearm; rule out ganglion.


Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Neoplasia Benign
Created: over 8 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: MR
Activities:
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Reveal Findings

MR – Homogeneous T1 isointense, T2 and IR hyperintense, and enhancing cutaneous/subcutaneous lesion with poorly defined margins sparing the muscular fascia.

Reveal Discussion

Pilomatricoma is a rare benign tumor originating from pleuripotent cells which normally differentiate toward hair matrix cells. These are typically seen in childhood with a mean age of presentation of 8 years. Females are affected twice as often as males. The head and neck region is the most common (especially in the periorbital region) accounting for more than half of the cases; the upper extremity accounts for about a third of cases. Surgical excision with clear margins is the treatment of choice.

Reveal Diagnosis

Pilomatricoma

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