Trichilemmal carcinoma C44.L

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

malignant tricholemmoma; trichilemmoma malignes; Tricholemmal carcinoma

History
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Headington, 1976

Definition
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Rare, low malignant carcinoma originating from hair follicles, which histologically mimics tricholemmoma structures, see also Hair follicle tumor.

Manifestation
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Occurring in old age.

Localization
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Located in chronically light-exposed areas (face, ear, neck).

Clinical features
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Uncharacteristic: Relatively rapidly growing, 0.5-2 cm large, erosive-wetting or crusty, exophytic tumor.

Histology
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Infiltrating and destructively growing tumor of lobular, usually well-defined structure of differently sized, bright, optically empty cells with chromatin-tight nuclei. Significant cell and nuclear polymorphism, atypical mitoses. Occasional abortive hair formation.

Differential diagnosis
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Therapy
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Surgical removal in healthy people (safety distance about 3 mm).

Progression/forecast
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Favourable: In the long term only local growth, very rarely metastasis in the regional lymph nodes.

Literature
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  1. Headington JT (1976) Tumors of the hair follicle. A review. On J Pathol 85: 481-514
  2. Misago N et al (2002) Tricholemmal carcinoma in continuity with trichoblastoma within nevus sebaceus. At J Dermatopathol 24: 149-155
  3. Schell H et al (1986) Tricholemmal carcinoma. Dermatologist 37: 384-38
  4. Van Zele D et al (2002) Invasive tricholemmal carcinoma of the nose. Dermatology 204: 315-317

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020