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A proliferating pilar tumor ( PPT ) is a rare neoplasm arising from ____________________ isthmus region of the outer root
sheath of the hair follicle . It is also commonly ____________________ a proliferating trichilemmal cyst or , less commonly ,
proliferating follicular - cystic neoplasm . It ____________________ first described by Wilson - Jones as a proliferating
epidermoid cyst in 1966 . PPT was then distinguished from proliferating epidermoid cysts ____________________ 1995 . It
occurs most commonly on the scalp in women older ____________________ 50 years . Most tumors arise within a
preexisting pilar ____________________ . Even ____________________ they usually are benign in nature , malignant transformation with
local ____________________ and metastasis ____________________ been described . A tentative stratification of PPTs ____________________
groups as benign , low - grade malignancy , and high - grade malignancy has been introduced . They may
be ____________________ in an autosomal - dominant mode , linked to chromosom e