Malignant transformation of multiple dermal cylindromas

Br J Dermatol. 2001 Oct;145(4):653-6. doi: 10.1046/j.1365-2133.2001.04460.x.


Cylindromas are benign tumours arising as small, solitary, slow-growing nodules on the head and neck. Multiple cylindromas may form a 'turban tumour' in the autosomal dominant Brooke-Spiegler syndrome. We report two unusual cases of multiple cylindromas with transformation into cylindrocarcinomas. The first patient, a 63-year-old white woman, developed a cylindrocarcinoma on pre-existing multiple cylindromas on her right shoulder. Eight months after resection she developed a lymph node metastasis in the right axilla. The second patient, a 68-year-old white woman, presented with multiple cylindromas of the scalp. One of these transformed into a cylindrocarcinoma, infiltrating the dura mater, with local recurrence 2 years after incomplete resection and postoperative radiation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carcinoma, Adenoid Cystic / pathology*
  • Carcinoma, Adenoid Cystic / secondary
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Head and Neck Neoplasms / pathology
  • Humans
  • Lymphatic Metastasis
  • Middle Aged
  • Scalp
  • Skin Neoplasms / pathology*