Unmasking the Unexpected: A Rare Pilomatrixoma Presenting as a Breast Mass

Pilomatrixoma is a benign skin neoplasm originating from hair follicle matrix cells, most commonly found in the head and neck region. Its occurrence in breast tissue is rare. This case report describes the management of a 44-year-old female with a palpable breast mass following trauma. Imaging and biopsy confirmed pilomatrixoma. Surgical excision was performed via an areolar incision with no postoperative complications. Regular follow-up, including breast imaging, was advised. This case emphasizes the importance of considering pilomatrixoma in the differential diagnosis of breast masses, particularly in patients with trauma history. It highlights the value of appropriate imaging and histopathological evaluation to ensure accurate diagnosis and treatment.