Pilomatricoma – low magnification

Benign adnexal tumor with hair matrix differentiation

Dermal and subcutaneous tumor, multilobulated and surrounded by a pseudocapsule of connective tissue, thus well-defined

Pilomatricoma

LEGEND

  • Tumor surrounded by a pseudocapsule of connective tissue

  • Composed of 3 cell populations forming a transition zone

  • The transition progresses to the formation of broad areas of ghost cells

Pilomatricoma

LEGEND

3 populations of cells

  • 1 – Basaloid matrical cells (originating from the hair matrix), uniform and small with prominent nuclei

  • 2 – Eosinophilic (pink-staining) transitional cells with the presence of eosinophils

  • 3 – Ghost cells that have become keratinized and anucleated (loss of nuclei), forming large ghost cell areas

Pilomatricoma

Transition zone with 3 populations of cells

Pilomatricoma

LEGEND

  • Transition zones

Pilomatricoma

LEGEND

This is not a malignant tumor.

  • Matrical cells are rapidly growing, thus they exhibit a high mitotic rate

Pilomatricoma

LEGEND

  • Large areas of ghost cells

Pilomatricoma

Large areas of ghost cells that have become fully keratinized and anucleated

Pilomatricoma

Calcification in the center of a ghost cell area

Pilomatricoma

LEGEND

  • Presence of eosinophils in the transition zones

Pilomatricoma

LEGEND

  • Presence of foreign body-type giant cells at the periphery of the tumor

Pilomatricoma

Multinucleated giant cells