Korean J Dermatol.  2016 Sep;54(8):650-652.

A Case of Cowden Syndrome Associated with Tumor of the Follicular Infundibulum

Affiliations
  • 1Department of Dermatology, Chosun University Medical School, Gwangju, Korea. lier001@naver.com

Abstract

Cowden Syndrome (CS) is a rare genodermatosis of autosomal-dominant inheritance, with variable expressivity and multiple types of hamartomas. The most consistent features of CS are small wart-like papillomatous papules on the face, hands, and mouth. A 31-year-old woman presented with a history of pearly papules on the face, hand, and foot for several years. The lesions were initially diagnosed as warts, and treated accordingly, but they did not subside. There was a history of endometrial cancer, breast cancer, and thyroid nodule, and her father had a history of thyroid cancer. A biopsy specimen from the facial papule showed plate-like growth of anastomosing epithelial cords, extending parallel to the epidermis. It was diagnosed as a tumor of the follicular infundibulum (TFI). The patient refused further treatment. Here, we report a rare case of CS presenting with TFI.

Keyword

Cowden syndrome; Hereditary condition; Tumor of the follicular Infundibulum

MeSH Terms

Adult
Biopsy
Breast Neoplasms
Endometrial Neoplasms
Epidermis
Fathers
Female
Foot
Hamartoma
Hamartoma Syndrome, Multiple*
Hand
Humans
Mouth
Pituitary Gland*
Thyroid Neoplasms
Thyroid Nodule
Warts
Wills
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