Chai Michael K, Tenzel Phillip, Iacob Codrin, Jordan Adrienne, Reddy Harsha S
New York Eye and Ear Infirmary, 310 East 14th Street, New York, NY 10003, United States.
Saudi J Ophthalmol. 2017 Jul-Sep;31(3):183-185. doi: 10.1016/j.sjopt.2017.05.002. Epub 2017 May 17.
Trichilemmal carcinomas are rare malignant adnexal tumors which can involve the head and, rarely, the eyelid. Accurate diagnosis and differentiation from basal cell carcinoma or trichoepithelioma are dependent on histopathological and immunohistochemical analysis. We report a case of an eyelid mass, initially diagnosed by incisional biopsy as a trichoepithelioma, later found on excisional biopsy to be a trichilemmal carcinoma and present a review of the literature of the histopathology, differential diagnosis and management. Consideration of these entities will be useful to the histopathologist and clinician to better identify and treat these challenging lesions.
毛鞘癌是一种罕见的恶性附属器肿瘤，可累及头部，累及眼睑者罕见。准确诊断并与基底细胞癌或毛发上皮瘤相鉴别取决于组织病理学和免疫组织化学分析。我们报告1例眼睑肿物病例，最初经切开活检诊断为毛发上皮瘤，后来切除活检发现是毛鞘癌，并对其组织病理学、鉴别诊断及治疗的文献进行综述。了解这些疾病对于组织病理学家和临床医生更好地识别和治疗这些具有挑战性的病变很有帮助。
