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Published on: August 18, 2022
Trichilemmal carcinoma: a rare cutaneous malignancy: a report of two cases
Algin B Garrett1, Farrukh H Azmi, Kemka S Ogburia
1Department of Dermatology, Medical College of Virginia/Virginia Commonwealth University,Richmond, Virginia 23298-0164, USA. abgarret@hsc.vcu.edu
Background:
Trichilemmal carcinoma is a rare cutaneous malignancy that usually occurs on the sun-exposed areas of older individuals. The lesion is usually solitary and may present as an exophytic or polypoid nodule that maybe hyperkeratotic with ulceration.
Objective:
To present two cases of trichilemmal carcinoma, one occurring in a kidney transplantation patient.
Methods:
Two case reports and a discussion of the rare carcinoma are presented.
Results:
Both lesions were treated with Mohs micrographic surgery without sign of recurrence after several years.
Conclusion:
Trichilemmal carcinoma is a rare cutaneous malignancy that can be seen in both immunocompetent and immunosuppressed hosts. Mohs micrographic surgery should be considered among the surgical options to avoid a wide surgical excision in these patients.
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