Journal of Cutaneous and Aesthetic Surgery
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CASE REPORT Table of Contents   
Year : 2008  |  Volume : 1  |  Issue : 1  |  Page : 27-28
Radiosurgical ablation of solitary trichoepithelioma


Consultant Dermatologist, Skin Care Clinic, No. 99, 3rd Main, KEB Layout, BTM 1st Stage, Bangalore, Karnataka, India

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   Abstract 

Trichoepithelioma presents a challenge for management in view of its location. We describe the use of radiofrequency ablation in the management of this condition.

Keywords: Trichoepithelioma, radiofrequency, ablation, solitary

How to cite this article:
Hanumanthiah H C. Radiosurgical ablation of solitary trichoepithelioma. J Cutan Aesthet Surg 2008;1:27-8

How to cite this URL:
Hanumanthiah H C. Radiosurgical ablation of solitary trichoepithelioma. J Cutan Aesthet Surg [serial online] 2008 [cited 2019 Dec 14];1:27-8. Available from: http://www.jcasonline.com/text.asp?2008/1/1/27/41156



   Introduction Top


Trichoepitheliomas are well differentiated benign follicular tumours that are particularly important because they may be clinically and histologically confused with basal cell carcinomas (BCCs). The recognised clinicopathalogical types are: [1]

  • Solitary trichoepithelioma
  • Multiple trichoepitheliomas
  • Desmoplastic trichoepithelioma
  • Giant solitary trichoepithelioma


No conservative treatment is available. Ablative intervention is the only management if required for cosmetic reasons. [2]


   Case Report Top


A 71-year-old man presented with asymptomatic skin colored nodule, measuring around 2 cm over the left ala nasi of 5 years duration [Figure 1]. Differential diagnosis of keratoacanthoma, dermatofibroma, trichoepithelioma (solitary) and BCC was considered.

Under 1% local anaesthesia with adrenaline the lesion was excised by cutting mode of radio frequency (RF) surgery [Figure 2].

The bleeding was controlled by putting figure of eight suture with 3-0 plain catgut followed by dressing for a day. Topical and oral antibiotics and anti-inflammatory drugs were advised for 7 days.

Excision biopsy report came as solitary trichoepithelioma.


   Discussion Top


Solitary trichoepithelioma is a slowly growing epithelial tumour. There is no genetic association. It presents as a single skin colored nodule, usually on the adult face. Excision is the treatment of choice. The radiosurgery was used for its accurate removal of lesion with minimal bleeding without destroying underlying structures of ala nasi.

This case is being reported for its rarity and for successful treatment by cutting mode of RF surgery without damaging the underlying cartilaginous structures of ala nasi.

 
   References Top

1.Jerajani HR, Amladi ST, Patwardhan MP, Mahajan SA. Skin tumours and lymphoproliferative disorders. In : Valia RG, Valia AR, editors. IADVL Textbook and Atlas of Dermatology. Mumbai: Bhalani Publishing House; 1994. p. 1042-3.  Back to cited text no. 1    
2.Savant SS. Radiosurgery. What's New in Dermatology, S.T.D. and leprosy 2001;27:30-8.  Back to cited text no. 2    

Top
Correspondence Address:
H C Hanumanthiah
Skin care clinic, No. 99, 3rd Main, KEB Layout, BTM 1st Stage, Bangalore 560 076, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.41156

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    Figures

  [Figure 1], [Figure 2]



 

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