Cellular Neurothekeoma – Rare but exists

Abstract

Cellular neurothekeoma is a rare, benign cutaneous neoplasm with uncertain histogenesis, that most commonly develops on the head or neck. It predominantly affects females in their third or fourth decade. Usually, they do not have any symptoms, but there may be pressure-related pain. Since cellular neurotheke-omas are typically rare and do not have well defined clinical symptoms, it is often difficult to distinguish them from other types of skin tumors. We present the case of a 40-year-old fema-le with a slowly growing violaceous nodule on her scalp, noted since childhood but recently exhibiting growth. We describe the diagnostic and therapeutic approach. This case highlights the diagnostic challenges posed by cellular neurothekeoma due to its histological and clinical variability. Accurate diagnosis through histopathology and immunohistochemistry is crucial to avoid misdiagnosis and ensure appropriate management.