Ossifying pilomatrixoma with marrow formation of the left cheek region – Case report with review of literature

Pilomatrixoma is a rare, benign, circumscribed, calcifying epithelial neoplasm that arises from the hair follicle on any part of the body. It may present to the otorhinolaryngologist as a palpable mass in the head and neck region. They are usually found in girls during the first two decades of life. These tumors may contain calcification, which, when present, is helpful in suggesting the diagnosis. We present a rare case of ossifying pilomatrixoma in a 15 year old female who presented with a painless hard slow growing swelling over the left cheek region. FNAC could not provide any clue whereas USG and CT scan showed the swelling to be in subcutaneous plane, superficial to the parotid gland. Complete excision of the mass along with the overlying adherent skin in toto with preservation of facial nerve was done. The diagnosis was confirmed after histopathological examination of the excised specimen which revealed pilomatrixoma with extensive ossification and marrow formation.