A RARE CASE REPORT OF MALIGNANT PILAR TUMOUR

Pilar tumor is a rare neoplasm arising from the external root sheath of the hair follicle and is most commonly observed on the scalp , these tumors are largely benign often cystic and are characterized by trichilemmal keratinisation, wide local excision has been the standard treatment of choice. Recent reports have described a rare malignant variant with an aggressive clinical course and a propensity for nodal and distant metastasis which therefore merits aggressive treatment. In this report we present a malignant pilar tumor of the scalp with multiple nodal metastasis at presentation, diagnostic and therapeutic consideration in the form of adjuvant radiotherapy are subsequently discussed. The aim of this report is to create awareness regarding this particular entity, considering its rare presentation and the need to differentiate these tumors from squamous cell carcinoma of the head and neck region