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Eyelid trichilemmal carcinoma.

Michael K Chai1, Phillip Tenzel1, Codrin Iacob1

  • 1New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003, United States.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|September 2, 2017
PubMed
Summary

Trichilemmal carcinomas are rare eyelid tumors. Accurate diagnosis requires histopathology and immunohistochemistry to distinguish them from similar lesions like trichoepithelioma.

Keywords:
Basal cell carcinomaEyelidTrichilemmal carcinomaTrichoepithelioma

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Area of Science:

  • Dermatopathology
  • Ophthalmology
  • Oncology

Background:

  • Trichilemmal carcinomas are rare malignant adnexal tumors.
  • These tumors can occur on the head and, less commonly, the eyelid.
  • Distinguishing trichilemmal carcinoma from basal cell carcinoma and trichoepithelioma is crucial for proper management.

Purpose of the Study:

  • To report a case of eyelid trichilemmal carcinoma.
  • To review the literature on histopathology, differential diagnosis, and management of trichilemmal carcinoma.
  • To aid histopathologists and clinicians in identifying and treating these challenging eyelid lesions.

Main Methods:

  • Histopathological analysis of an eyelid mass.
  • Immunohistochemical analysis for differential diagnosis.
  • Literature review of trichilemmal carcinoma.

Main Results:

  • An eyelid mass initially diagnosed as trichoepithelioma by incisional biopsy was confirmed as trichilemmal carcinoma by excisional biopsy.
  • Histopathological and immunohistochemical findings are key to differentiating trichilemmal carcinoma from other adnexal tumors.

Conclusions:

  • Accurate diagnosis of eyelid masses requires careful histopathological and immunohistochemical evaluation.
  • Trichilemmal carcinoma is a rare but important differential diagnosis for eyelid tumors.
  • This case and literature review highlight the importance of considering trichilemmal carcinoma in the differential diagnosis of eyelid lesions.