Trichilemmal Carcinoma of the Thigh

    January 2025 in “ Dermatology Review
    A Rakoczy, Konrad Reweda-Kwiatkowski, Krzysztof Kowalik, Mirosław Parafiniuk, Anna Gruszczyńska, Arkadiusz Waloryszak, Jerzy Grabarek, M Pekala M Pekala, Andrzej Modrzejewski
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    Studysummary The authors report a rare case of trichilemmal carcinoma in the thigh of a 71-year-old, emphasizing the importance of complete surgical excision to prevent recurrence and support patient prognosis. Our plain-language summary of this paper — not a Tressless recommendation.
    Trichilemmal carcinoma is a rare malignant tumor originating from the outer root sheath of the hair follicle, characterized by keratinization without a granular layer. A case of a 71-year-old male with a thigh tumor was reported, where surgical excision confirmed the diagnosis and achieved clear margins, indicating complete resection. The tumor typically follows a benign course with rare recurrence post-resection, but metastases may require chemotherapy. The article emphasizes the need for close post-surgery follow-up due to recurrence risks and highlights the challenge of standardizing treatment due to limited cases and unclear chemotherapy guidelines for metastases.
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