Trichilemmal Carcinoma on the Head (Surgical Challenge to Achieve Free Margin): A Case Report

Daan Khambri

Abstract


Introduction: Trichilemmal carcinoma is a rare tumor derived from the outer hair sheath. It usually appears on the face, ears, neck, scalp, and sun-exposed areas. It generally occurs in patients older than 50 years old, and there is no sex predilection to this disease.

Case Presentation: A 60-year-old woman came with a complaint of a lump in the head that often bled. The size of the lump was approximately like a bean seed and broke when she combed her hair. The lump was getting bigger within a year and easier to bleed. She often felt pain. Based on the history of surgery 2 months ago, the examination implies that the patient had trichilemmal carcinoma.

Conclusions: Trichilemmal carcinoma generally occurs in the elderly category. Although trichilemmal carcinoma has a benign clinical course and local recurrence cases are uncommon, sufficient free margin and immediate reconstruction are challenging if the predilection is in the head and neck. Surgical excision is the recommended treatment for this disease


Keywords


head, sufficient free margin, trichilemmal carcinoma

References


Barnhill RL, Crowson AN, Magro CM, Piepkorn MW.

Dermatopathology. 3 ed. Europe: McGraw-Hill Education 2010.

Billingsley EM, Davidowski TA, Maloney ME.

Trichilemmal carcinoma. J Am Acad Dermatol.

;36(1):107–9.

Headington JT. Tumors of the hair follicle. A review.

Am J Pathol. 1976;85(2):479–514.

Dalton SR, LeBoit PE. Squamous cell carcinoma with

clear cells: how often is there evidence of tricholemmal differentiation? Am J Dermatopathol. 2008;30(4):333–9.

Garrett AB, Azmi FH, Ogburia KS. Trichilemmal

carcinoma: a rare cutaneous malignancy: a report

of two cases. Dermatol Surg. 2004;30(1):113–5.

Dailey JR, Helm KF, Goldberg SH. Tricholemmal

carcinoma of the eyelid. Am J Ophthalmol. 1993;115(1):118–9.

Reis JP, Tellechea O, Cunha MF, Baptista AP.

Trichilemmal carcinoma: review of 8 cases. J Cutan Pathol. 1993;20(1):44–9.

Nemetz MA, da Cunha RM, Reeck P, et al.Trichilemmal carcinoma: a case study. Rev Bras Otorrinolaringol. 2004;70:832–5.

Hamman MS, Brian Jiang SI. Management of trichilemmal carcinoma: an update and comprehensive review of the literature. Dermatol Surg.2014;40(7):711–7.

Chan KO, Lim IJ, Baladas HG, Tan WT. Multiple

tumour presentation of trichilemmal carcinoma. Br J Plast Surg. 1999;52(8):665-7.

Ko T, Tada H, Hatoko M, et al. Trichilemmal

carcinoma developing in a burn scar: a report of two cases. J Dermatol. 1996;23(7):463–8.

Misago N, Tanaka T, Kohda H. Trichilemmal

carcinoma occurring in a lesion of solar keratosis. J Dermatol. 1993;20(6):358–64.

Swanson PE, Marrogi AJ, Williams DJ, et al.

Tricholemmal carcinoma: clinicopathologic study of

cases. J Cutan Pathol. 1992;19(2):100–9.

Allee JE, Cotsarelis G, Solky B, Cook JL. Multiply

recurrent trichilemmal carcinoma with perineural

invasion and cytokeratin 17 positivity. Dermatol

Surg. 2003;29(8):886-9.

Boscaino A, Terracciano LM, Donofrio V, et al.

Tricholemmal carcinoma: a study of seven cases. J

Cutan Pathol. 1992;19(2):94–9.

Zhuang SM, Zhang GH, Chen WK, et al. Survival

study and clinicopathological evaluation of trichilemmal carcinoma. Mol Clin Oncol. 2013;1(3):499–502.

Xu B, Wang T, Liao Z. Surgical Treatment of Trichilemmal Carcinoma. World J Oncol. 2018;9(5-

:141–4.

Kim S, Chung SW, Cha IH. Full thickness skin grafts

from the groin: donor site morbidity and graft

survival rate from 50 cases. J Korean Assoc Oral

Maxillofac Surg. 2013;39(1):21–6.


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DOI: 10.33371/ijoc.v16i1.861

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