A Case of Trichilemmal Carcinoma in Auricle

이개에 발생한 모낭암종 1예

  • Jung, Jae-Yun (Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University College of Medicine) ;
  • Park, Eu-Teum (Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University College of Medicine) ;
  • Lee, Ki-Il (Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University College of Medicine)
  • 정재윤 (단국대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박으뜸 (단국대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이기일 (단국대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2006.11.30

Abstract

Trichilemmal carcinoma is a rare malignant neoplasm of the hair follicle from the outer root of the hair follicle sheath. This tumor can be misleading, and a false diagnosis of a squamous cell carcinoma. We report a case of trichilemmal carcinoma with a review of literature. The patient presented with an exophytic well circumscribed nodular mass on the left auricle, which was detected 6 months ago. Histopathologically, the tumor consisted of atypical clear cells which contained abundant glycogen. The tumor cells shows lobular growth pattern with necrosis, foci of trichilemmal keratinization and peripheral pallisading. Total excision and repair with full-thickness skin graft was done with minimal surgical morbidity. The patient has been free of recurrence or metastasis for 8 months.

Keywords

References

  1. Lim SW, Kwon SW, Suh MK, Lee HC, Choi JH, Lee JW, et al: A case of Trichilemmal carcinoma. Korean J Dermatol. 2003;41 (10 ):1405-1407
  2. Ahn BK, Kim YC, Kim SC: A case of trichilemmal carcinoma. Korean J Dermatol. 2003;41 (5 ):654-656
  3. Kim KH, Kim JY, Kim CW, Kim BC, Lee KS: A case of trichilemmal carcinoma on scalp. Korean J Dermatol. 2003;41 (7 ):945-947
  4. Joo HJ, Chung EC, Kim WS: A case of ulcerative Trichilemmal carcinoma. Korean J Dermatol. 2002;40 (10 ):1239-1242
  5. Song MG, Min HG, Yang JM, Lee ES: A case of trichilemmal carcinoma showing a feature of cutaneous horn. Ann Dermatol. 2001;13:196-199 https://doi.org/10.5021/ad.2001.13.3.196
  6. Ahn GB, Chang SH, Yoon TY: A case of trichilemmal carcinoma. Ann Dermatol. 1998;10:175-178 https://doi.org/10.5021/ad.1998.10.3.175
  7. Park HJ, Park YM, Yi JY, Kim TY,Cho BK, Kim CW, et al: A case of trichilemmal carcinoma. Ann Dermatol. 1996;8:61-65 https://doi.org/10.5021/ad.1996.8.1.61
  8. Headington JT: Tumors of the hair follicle: A review. Am J Pathol. 1976;85:480-505
  9. Boscaino A, Terracciano LM, Donofrio V, et al: Trichilemmal carcinoma: A study of seven cases. J Cutan Pathol. 1992;19:94-99 https://doi.org/10.1111/j.1600-0560.1992.tb01349.x
  10. Reis JP, Tellechea O, Cunha MF, et al: Trichilemmal carcinoma: A review of 8 cases. J Cutan Pathol. 1993;20:44-49 https://doi.org/10.1111/j.1600-0560.1993.tb01248.x
  11. Wong TY, Suster S: Trichilemmal carcinoma. A clinicopathologic study of 13 cases. Am J Dermatopathol. 1994;16:463-473 https://doi.org/10.1097/00000372-199410000-00001