A Case of Desmoplastic Trichilemmoma of the Lip Treated with Mohs Surgery

Background. Desmoplastic trichilemmoma is a rare pseudomalignant variant of trichilemmoma. It generally presents as a small papule on the face and is often clinically misdiagnosed as a basal cell carcinoma or verruca vulgaris. It is histologically similar to a trichilemmoma, but has a central area o...

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Veröffentlicht in:Dermatologic surgery 2004-07, Vol.30 (7), p.1062-1064
Hauptverfasser: Schweiger, Eric, Spann, Candace Thornton, Weinberg, Jeffrey M., Ross, Bonnie
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container_end_page 1064
container_issue 7
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container_title Dermatologic surgery
container_volume 30
creator Schweiger, Eric
Spann, Candace Thornton
Weinberg, Jeffrey M.
Ross, Bonnie
description Background. Desmoplastic trichilemmoma is a rare pseudomalignant variant of trichilemmoma. It generally presents as a small papule on the face and is often clinically misdiagnosed as a basal cell carcinoma or verruca vulgaris. It is histologically similar to a trichilemmoma, but has a central area of desmoplasia that can mimic an invasive carcinoma. Objective. The objective was to report a case of desmoplastic trichilemmoma of the lower lip that was treated with Mohs micrographic surgery. Methods. A case is reported and the literature is reviewed. Results. The patient underwent Mohs micrographic surgery for removal of the neoplasm. Six months after the procedure, the patient remained tumor free. Conclusions. Although desmoplastic trichilemmoma is a benign neoplasm, it is often histologically confused with basal cell carcinoma and malignant trichilemmoma. Desmoplastic trichilemmoma is also most frequently located on the face. Considering these factors, Mohs micrographic surgery appears to represent an excellent choice for removal of these tumors to achieve clear margins and a good cosmetic result.
doi_str_mv 10.1111/j.1524-4725.2004.30318.x
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Desmoplastic trichilemmoma is a rare pseudomalignant variant of trichilemmoma. It generally presents as a small papule on the face and is often clinically misdiagnosed as a basal cell carcinoma or verruca vulgaris. It is histologically similar to a trichilemmoma, but has a central area of desmoplasia that can mimic an invasive carcinoma. Objective. The objective was to report a case of desmoplastic trichilemmoma of the lower lip that was treated with Mohs micrographic surgery. Methods. A case is reported and the literature is reviewed. Results. The patient underwent Mohs micrographic surgery for removal of the neoplasm. Six months after the procedure, the patient remained tumor free. Conclusions. Although desmoplastic trichilemmoma is a benign neoplasm, it is often histologically confused with basal cell carcinoma and malignant trichilemmoma. Desmoplastic trichilemmoma is also most frequently located on the face. Considering these factors, Mohs micrographic surgery appears to represent an excellent choice for removal of these tumors to achieve clear margins and a good cosmetic result.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2004.30318.x</identifier><identifier>PMID: 15209802</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Aged ; Biological and medical sciences ; Dermatology ; General aspects ; Hair Follicle ; Humans ; Lip Neoplasms - pathology ; Lip Neoplasms - surgery ; Male ; Medical sciences ; Mohs Surgery ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Desmoplastic trichilemmoma is a rare pseudomalignant variant of trichilemmoma. It generally presents as a small papule on the face and is often clinically misdiagnosed as a basal cell carcinoma or verruca vulgaris. It is histologically similar to a trichilemmoma, but has a central area of desmoplasia that can mimic an invasive carcinoma. Objective. The objective was to report a case of desmoplastic trichilemmoma of the lower lip that was treated with Mohs micrographic surgery. Methods. A case is reported and the literature is reviewed. Results. The patient underwent Mohs micrographic surgery for removal of the neoplasm. Six months after the procedure, the patient remained tumor free. Conclusions. Although desmoplastic trichilemmoma is a benign neoplasm, it is often histologically confused with basal cell carcinoma and malignant trichilemmoma. Desmoplastic trichilemmoma is also most frequently located on the face. Considering these factors, Mohs micrographic surgery appears to represent an excellent choice for removal of these tumors to achieve clear margins and a good cosmetic result.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Dermatology</subject><subject>General aspects</subject><subject>Hair Follicle</subject><subject>Humans</subject><subject>Lip Neoplasms - pathology</subject><subject>Lip Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mohs Surgery</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schweiger, Eric</creatorcontrib><creatorcontrib>Spann, Candace Thornton</creatorcontrib><creatorcontrib>Weinberg, Jeffrey M.</creatorcontrib><creatorcontrib>Ross, Bonnie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schweiger, Eric</au><au>Spann, Candace Thornton</au><au>Weinberg, Jeffrey M.</au><au>Ross, Bonnie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Desmoplastic Trichilemmoma of the Lip Treated with Mohs Surgery</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2004-07</date><risdate>2004</risdate><volume>30</volume><issue>7</issue><spage>1062</spage><epage>1064</epage><pages>1062-1064</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background. Desmoplastic trichilemmoma is a rare pseudomalignant variant of trichilemmoma. It generally presents as a small papule on the face and is often clinically misdiagnosed as a basal cell carcinoma or verruca vulgaris. It is histologically similar to a trichilemmoma, but has a central area of desmoplasia that can mimic an invasive carcinoma. Objective. The objective was to report a case of desmoplastic trichilemmoma of the lower lip that was treated with Mohs micrographic surgery. Methods. A case is reported and the literature is reviewed. Results. The patient underwent Mohs micrographic surgery for removal of the neoplasm. Six months after the procedure, the patient remained tumor free. Conclusions. Although desmoplastic trichilemmoma is a benign neoplasm, it is often histologically confused with basal cell carcinoma and malignant trichilemmoma. Desmoplastic trichilemmoma is also most frequently located on the face. Considering these factors, Mohs micrographic surgery appears to represent an excellent choice for removal of these tumors to achieve clear margins and a good cosmetic result.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>15209802</pmid><doi>10.1111/j.1524-4725.2004.30318.x</doi><tpages>3</tpages></addata></record>
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subjects Aged
Biological and medical sciences
Dermatology
General aspects
Hair Follicle
Humans
Lip Neoplasms - pathology
Lip Neoplasms - surgery
Male
Medical sciences
Mohs Surgery
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title A Case of Desmoplastic Trichilemmoma of the Lip Treated with Mohs Surgery
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