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METASTASES OF THE SCALP SIMULATING TURBAN TUMORS

METASTASES OF THE SCALP SIMULATING TURBAN TUMORS Abstract The case herein reported is interesting because of the rarity of cancerous metastases to the scalp and because of their striking similarity to turban tumors (figs. 1 and 2). The rapidity of the development of the condition, which was the most important factor in the clinical diagnosis, was overlooked because of the decided resemblance, and the correct diagnosis of metastases was made only at the autopsy table. Turban tumors is a short clinical name which designates a variety of slow-growing nonkeratinizing or basal cell epithelioma. It is characterized by multiple tumors varying in size from that of a pinhead to that of a pigeon's egg or larger and numbering from a few to hundreds. The tumors are usually confined to the scalp and are grouped in bunches, sometimes covering the entire scalp like a turban. The condition may be considered as an ultimate stage of adenoma sebaceum and epithelioma adenoides References 1. Savatard, L.: Epithelioma Adenoides Cysticum , Brit. J. Dermat. 50:333, 1938.Crossref 2. Ronchese, F.: Multiple Benign Epithelioma of the Scalp (Turban Tumors) , Am. J. Cancer 18:875, 1933. 3. Andrews, G. C.: Diseases of the Skin , ed. 2, Philadelphia, W. B. Saunders Company, 1938, p. 708. 4. Nékám, L.: Deliberationes Congressu dermatologorum internationalis IX , Leipzig, Johann Ambrosius Barth, 1938, vol. 5, pt. (3) , p. 679. 5. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939, pp. 678 and 813. 6. Guimarães Porto, A.: Tumores confluentes do couro cabelludo (Adenomas sebaceos) , Arch. brasil. de med. 2:699, 1912. 7. Auvray: Tumeurs confluentes du cuir chevelu, par M. A. Guimarães Porto , Bull. et mém. Soc. nat. de chir. 61:284, 1935) 8. Snoke, P. O., and Belk, W. P.: Multiple Primary Tumors of the Skin [case 1] , S. Clin. North America 7:437, 1927. 9. Stillians, A. W.: Multiple Benign Epithelioma of the Scalp , Arch. Dermat. & Syph. 25:941 ( (May) ) 1932; 10. Nevo-Epithelioma Adenoides (Cylindroma) of the Scalp , Stillians Arch. Dermat. & Syph. 27:481 ( (March) ) 1933. 11. Schlammadinger, J.: Cylindrom und Trichoepithelioma papulosum multiplex , Arch. f. Dermat. u. Syph. 171:526, 1935. 12. Hval, E.: Adenomata of Sweat-Glands and Other Kindred Tumours: Their Generic Relationship to Naevi [cases 10 and 11] , Acta dermat.-venereol. 12:1, 1936. 13. Schuermann, H., and Weber, K.: Beitrag zur Kenntnis der Spieglerschen Tumoren (Cylindrome) nebst einigen Bemerkungen zum Epithelioma adenoides cysticum , Arch. f. Dermat. u. Syph. 175: 682, 1937. 14. Binkley, G. W.: Naevus Epitheliomato-Cylindromatosus , Arch. Dermat. & Syph. 37:289 ( (Feb.) ) 1938. 15. Nicholson, M. A., and Becker, F. T.: Naevus Epitheliomatocylindromatosus , Arch. Dermat. & Syph. 39:543 ( (March) ) 1939. 16. Zakon, S. J.: Naevo-epithelioma Adenoides Cylindromatosum of the Scalp , Arch. Dermat. & Syph. 40:626 ( (Oct.) ) 1939; 17. Naevoepithelioma Adenoides (Cylindroma) of the Scalp , Zakon Arch. Dermat. & Syph. 40:945 ( (Dec.) ) 1939. 18. Cutler, M.; Buschke, F., and Cantril, S. T.: Cancer: Its Diagnosis and Treatment , Philadelphia, W. B. Saunders Company, 1938. 19. Willis, R. A.: The Spread of Tumours in the Human Body , London, J. & A. Churchill, 1934. 20. Kaufmann-Wolf, M.: Klinische und histologische Beobachtungen bei Haut-metastasen im Anschluss an Karzinom innerer Organe , Arch. f. Dermat. u. Syph. 114:709, 1913. 21. Symmers, D.: The Metastasis of Tumors: A Study of Two Hundred and Ninety-Eight Cases of Malignant Growth Exhibited Among 5,155 Autopsies at Bellevue Hospital , Am. J. M. Sc. 154:225, 1917. 22. Goldsmith, W. N.: A Case of Metastatic Scirrhous Carcinoma of the Scalp , Brit. J. Dermat. 41:270, 1929. 23. Robinson, J. M., and Castleman, B.: Benign Metastasizing Hemangioma , Ann. Surg. 104:453, 1936. 24. Fay, T., and Henny, G. C.: Correlation of Body Segmental Temperature and Its Relation to the Location of Carcinomatous Metastasis: Clinical Observations and Response to Methods of Refrigeration , Surg., Gynec. & Obst. 66:512, 1938. 25. Graves, R. C.: Analysis of Cases at the Pondville Hospital: Cancer of the Genito-Urinary Organs , Am. J. Cancer ( (supp.) ) 15:2393, 1931. 26. Broders, A. C.: Squamous-Cell Epithelioma of the Lip: A Study of Five Hundred and Thirty-Seven Cases , J. A. M. A. 74:656 ( (March 6) ) 1920;Crossref 27. Squamous-Cell Epithelioma of the Skin , Ann. Surg. 73:141, 1921;Crossref 28. Epithelioma of Cavities and Internal Organs of the Head and Neck , Arch. Surg. 11:43 ( (July) ) 1925.Crossref 29. Keeney, E. L.: Primary Carcinoma of the Trachea with Cutaneous Carcinomatosis , Bull. Johns Hopkins Hosp. 61:411, 1937. 30. Sequeira, J. H., and Turnbull, H. M.: Sarcoma of the Skin, & c., Secondary to Tumour of the Foot , Proc. Roy. Soc. Med. (Sect. Dermat.) 8:8, 1914. 31. Way, S. C., and Light, S. E.: Generalized Melanosis: Report of a Case with Necropsy , J. A. M. A. 94:241 ( (Jan. 25) ) 1930.Crossref 32. Montgomery, H.: Early Recognition and Treatment of Skin Cancer , S. Clin. North America 17:1249, 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology and Syphilology American Medical Association

METASTASES OF THE SCALP SIMULATING TURBAN TUMORS

Archives of Dermatology and Syphilology , Volume 41 (4) – Apr 1, 1940

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Publisher
American Medical Association
Copyright
Copyright © 1940 American Medical Association. All Rights Reserved.
ISSN
0096-6029
DOI
10.1001/archderm.1940.01490100003001
Publisher site
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Abstract

Abstract The case herein reported is interesting because of the rarity of cancerous metastases to the scalp and because of their striking similarity to turban tumors (figs. 1 and 2). The rapidity of the development of the condition, which was the most important factor in the clinical diagnosis, was overlooked because of the decided resemblance, and the correct diagnosis of metastases was made only at the autopsy table. Turban tumors is a short clinical name which designates a variety of slow-growing nonkeratinizing or basal cell epithelioma. It is characterized by multiple tumors varying in size from that of a pinhead to that of a pigeon's egg or larger and numbering from a few to hundreds. The tumors are usually confined to the scalp and are grouped in bunches, sometimes covering the entire scalp like a turban. The condition may be considered as an ultimate stage of adenoma sebaceum and epithelioma adenoides References 1. Savatard, L.: Epithelioma Adenoides Cysticum , Brit. J. Dermat. 50:333, 1938.Crossref 2. Ronchese, F.: Multiple Benign Epithelioma of the Scalp (Turban Tumors) , Am. J. Cancer 18:875, 1933. 3. Andrews, G. C.: Diseases of the Skin , ed. 2, Philadelphia, W. B. Saunders Company, 1938, p. 708. 4. Nékám, L.: Deliberationes Congressu dermatologorum internationalis IX , Leipzig, Johann Ambrosius Barth, 1938, vol. 5, pt. (3) , p. 679. 5. Sutton, R. L., and Sutton, R. L., Jr.: Diseases of the Skin , ed. 10, St. Louis, C. V. Mosby Company, 1939, pp. 678 and 813. 6. Guimarães Porto, A.: Tumores confluentes do couro cabelludo (Adenomas sebaceos) , Arch. brasil. de med. 2:699, 1912. 7. Auvray: Tumeurs confluentes du cuir chevelu, par M. A. Guimarães Porto , Bull. et mém. Soc. nat. de chir. 61:284, 1935) 8. Snoke, P. O., and Belk, W. P.: Multiple Primary Tumors of the Skin [case 1] , S. Clin. North America 7:437, 1927. 9. Stillians, A. W.: Multiple Benign Epithelioma of the Scalp , Arch. Dermat. & Syph. 25:941 ( (May) ) 1932; 10. Nevo-Epithelioma Adenoides (Cylindroma) of the Scalp , Stillians Arch. Dermat. & Syph. 27:481 ( (March) ) 1933. 11. Schlammadinger, J.: Cylindrom und Trichoepithelioma papulosum multiplex , Arch. f. Dermat. u. Syph. 171:526, 1935. 12. Hval, E.: Adenomata of Sweat-Glands and Other Kindred Tumours: Their Generic Relationship to Naevi [cases 10 and 11] , Acta dermat.-venereol. 12:1, 1936. 13. Schuermann, H., and Weber, K.: Beitrag zur Kenntnis der Spieglerschen Tumoren (Cylindrome) nebst einigen Bemerkungen zum Epithelioma adenoides cysticum , Arch. f. Dermat. u. Syph. 175: 682, 1937. 14. Binkley, G. W.: Naevus Epitheliomato-Cylindromatosus , Arch. Dermat. & Syph. 37:289 ( (Feb.) ) 1938. 15. Nicholson, M. A., and Becker, F. T.: Naevus Epitheliomatocylindromatosus , Arch. Dermat. & Syph. 39:543 ( (March) ) 1939. 16. Zakon, S. J.: Naevo-epithelioma Adenoides Cylindromatosum of the Scalp , Arch. Dermat. & Syph. 40:626 ( (Oct.) ) 1939; 17. Naevoepithelioma Adenoides (Cylindroma) of the Scalp , Zakon Arch. Dermat. & Syph. 40:945 ( (Dec.) ) 1939. 18. Cutler, M.; Buschke, F., and Cantril, S. T.: Cancer: Its Diagnosis and Treatment , Philadelphia, W. B. Saunders Company, 1938. 19. Willis, R. A.: The Spread of Tumours in the Human Body , London, J. & A. Churchill, 1934. 20. Kaufmann-Wolf, M.: Klinische und histologische Beobachtungen bei Haut-metastasen im Anschluss an Karzinom innerer Organe , Arch. f. Dermat. u. Syph. 114:709, 1913. 21. Symmers, D.: The Metastasis of Tumors: A Study of Two Hundred and Ninety-Eight Cases of Malignant Growth Exhibited Among 5,155 Autopsies at Bellevue Hospital , Am. J. M. Sc. 154:225, 1917. 22. Goldsmith, W. N.: A Case of Metastatic Scirrhous Carcinoma of the Scalp , Brit. J. Dermat. 41:270, 1929. 23. Robinson, J. M., and Castleman, B.: Benign Metastasizing Hemangioma , Ann. Surg. 104:453, 1936. 24. Fay, T., and Henny, G. C.: Correlation of Body Segmental Temperature and Its Relation to the Location of Carcinomatous Metastasis: Clinical Observations and Response to Methods of Refrigeration , Surg., Gynec. & Obst. 66:512, 1938. 25. Graves, R. C.: Analysis of Cases at the Pondville Hospital: Cancer of the Genito-Urinary Organs , Am. J. Cancer ( (supp.) ) 15:2393, 1931. 26. Broders, A. C.: Squamous-Cell Epithelioma of the Lip: A Study of Five Hundred and Thirty-Seven Cases , J. A. M. A. 74:656 ( (March 6) ) 1920;Crossref 27. Squamous-Cell Epithelioma of the Skin , Ann. Surg. 73:141, 1921;Crossref 28. Epithelioma of Cavities and Internal Organs of the Head and Neck , Arch. Surg. 11:43 ( (July) ) 1925.Crossref 29. Keeney, E. L.: Primary Carcinoma of the Trachea with Cutaneous Carcinomatosis , Bull. Johns Hopkins Hosp. 61:411, 1937. 30. Sequeira, J. H., and Turnbull, H. M.: Sarcoma of the Skin, & c., Secondary to Tumour of the Foot , Proc. Roy. Soc. Med. (Sect. Dermat.) 8:8, 1914. 31. Way, S. C., and Light, S. E.: Generalized Melanosis: Report of a Case with Necropsy , J. A. M. A. 94:241 ( (Jan. 25) ) 1930.Crossref 32. Montgomery, H.: Early Recognition and Treatment of Skin Cancer , S. Clin. North America 17:1249, 1937.

Journal

Archives of Dermatology and SyphilologyAmerican Medical Association

Published: Apr 1, 1940

References

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