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Locally aggressive trichilemmal carcinoma.

Ana María Maya-Rico1, Catalina Jaramillo-Pulgarín2, Ángela Londoño-García1

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Trichilemmal carcinoma, a rare hair follicle neoplasm, presents variably and requires histologic diagnosis. This case highlights an aggressive form of this rare cancer located in the auricle.

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Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Trichilemmal carcinoma is a rare adnexal neoplasm.
  • It originates from the outer root sheath of hair follicles.
  • Its clinical presentation is often variable.

Observation:

  • The patient presented with an aggressive trichilemmal carcinoma.
  • The tumor was located in the auricle (ear).
  • Clinical appearance mimicked other common skin cancers.

Findings:

  • Histologic examination confirmed trichilemmal carcinoma.
  • The diagnosis required differentiating it from basal cell and squamous cell carcinomas.
  • The auricle is an unusual site for this aggressive neoplasm.

Implications:

  • Accurate histologic diagnosis is crucial for managing trichilemmal carcinoma.
  • Awareness of its variable presentation is important for clinicians.
  • This case underscores the potential for aggressive behavior and specific site involvement.