- Source: Giant solitary trichoepithelioma
Giant solitary trichoepithelioma is a cutaneous condition characterized by a skin lesion that may be up to several centimetres in diameter.: 672
Signs and symptoms
Giant solitary trichoepithelioma primarily affects the perianal and groin region. They typically measure a few centimeters in diameter and rarely reach 2 to 3 cm.
Diagnosis
Giant solitary trichoepithelioma is distinguished histologically by a dermal or subcutaneous tumor made up of basophilic cells grouped in solid, adenoid, or lace-like clusters. The cells have a sparse cytoplasm and a darkly pigmented nucleus, and the tumor islands exhibit the typical peripheral cell palisading. Papillary bodies and trichilemmal keratinization in horn cysts are indicative of a solid diagnosis, however they are not always present. Failures to develop papillary mesenchyme are represented by papillary bodies.
Treatment
The preferred course of treatment is either radiosurgical ablation or surgical excision, with or without a flap.
See also
Trichoepithelioma
Skin lesion
References
Further reading
Martinez, Carlos Augusto Real; Priolli, Denise Gonçalves; Piovesan, Helenice; Waisberg, Jaques (2004). "Nonsolitary Giant Perianal Trichoepithelioma With Malignant Transformation Into Basal Cell Carcinoma: Report of a Case and Review of the Literature". Diseases of the Colon & Rectum. 47 (5). Ovid Technologies (Wolters Kluwer Health): 773–777. doi:10.1007/s10350-003-0104-8. ISSN 0012-3706. PMID 15073659.
Bubna, AdityaKumar; Patil, NitinKrishna; Hussain, Seeba; Singh, Neha (2022). "Giant solitary trichoepithelioma: A diagnosis of exclusion". International Journal of Trichology. 14 (6). Medknow: 221–223. doi:10.4103/ijt.ijt_9_21. ISSN 0974-7753. PMC 10075344. PMID 37034549.