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Updated: Feb 1, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
Surgical Treatment of Trichilemmal Carcinoma
De Bin Xu1,2, Tao Wang3,2, Zhen Liao4
1Department of Thyroid and Neck Surgery, The Second Affiliated Hospital of Nan Chang University, NanChang, China.
Background:
To investigate the clinicopathologic characteristics and prognostic factors of trichilemmal carcinoma (TC), and to determine an optimal treatment strategy for these patients.
Methods:
This retrospective study enrolled consecutive patients who were admitted to the Sun Yat-sen University Cancer Center between 1998 and 2012.
Results:
The key prognostic factors influencing the survival were lymph nodes metastasis and surgery margin. Multivariate analysis revealed that there was no risk factor for patient survival.
Conclusions:
Surgery margin and lymph nodes metastasis were prognostic factors that influenced the treatment outcome. Simple excision with 1 cm margins is safe, inexpensive and effective for the treatment of TC; and postoperative follow-up of the patient to facilitate early diagnosis of the recurrence and distant metastasis is necessary. Systemic chemotherapy should be considered for the distance metastases patients.
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