2004
DOI: 10.1111/j.1524-4725.2004.30318.x
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A Case of Desmoplastic Trichilemmoma of the Lip Treated with Mohs Surgery

Abstract: 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.

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Cited by 15 publications
(19 citation statements)
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“…In what concerns DT treatment, although usually benign, its potential coexistence with atypical basaloid cell proliferations including CBC, makes Mohs surgery (for both adequate margin control and tissue sparing benefits) 15,21 or complete surgical excision with pathological confirmation of clear margins the treatments of choice. 22 In summary, a case of a patient with a desmoplastic trichilemmoma arising in a nevus sebaceous of the scalp is reported.…”
Section: Discussionmentioning
confidence: 99%
“…In what concerns DT treatment, although usually benign, its potential coexistence with atypical basaloid cell proliferations including CBC, makes Mohs surgery (for both adequate margin control and tissue sparing benefits) 15,21 or complete surgical excision with pathological confirmation of clear margins the treatments of choice. 22 In summary, a case of a patient with a desmoplastic trichilemmoma arising in a nevus sebaceous of the scalp is reported.…”
Section: Discussionmentioning
confidence: 99%
“…In 1990, Hunt and colleagues described a clinical variant of the neoplasm, the desmoplastic trichilemmoma, characterized by a central zone of desmoplasia, which can clinically simulate an invasive carcinoma. 1,2,3 …”
Section: Discussionmentioning
confidence: 99%
“…1,4 A tumor suppressor gene named PTEN/MMAC1 has been reported as the causal agent. 5 Some authors consider it to be a kind of viral wart based on the findings of conventional microscopic sections.…”
Section: Discussionmentioning
confidence: 99%
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“…In the latest WHO International Histological Classification of Tumors of Domestic Animal, tricholemmoma is classified into inferior and isthmic variants, depending on differentiation to the distinct two outer root sheath compartments [6]. In human, several reports on desmoplastic tricholemmoma had been published [3, 7, 12, 13], but this variant has never been reported in the canine counterpart. The present study describes histopathological and immunohistochemical findings of desmoplastic tricholemmoma in a dog.…”
mentioning
confidence: 99%