Oley Mendy Hatibie, Oley Maximillian Christian, Loho Lily Lucia, Panduwinata Dicky, Aling Deanette Michelle R, Faruk Muhammad
Division of Plastic Reconstructive & Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia; Craniofacial and Cleft Center, Siloam Hospital, Manado, Indonesia; Hyperbaric Centre Siloam Hospital, Manado, Indonesia.
Hyperbaric Centre Siloam Hospital, Manado, Indonesia; Division of Neurosurgery, Department of Surgery, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia; Neuroscience Center, Siloam Hospital, Manado, Indonesia.
Int J Surg Case Rep. 2021 Apr;81:105752. doi: 10.1016/j.ijscr.2021.105752. Epub 2021 Mar 11.
Trichilemmal carcinoma (TC) is a rare, low-grade, cutaneous malignant lesion that originates from hair follicle cells. It usually occurs in photo-exposed areas, especially on the face, scalp, neck, and dorsal part of the hand. We report a case of an adult female with TC in an unexposed area of the nose, which completely obstructed the right nasal cavity.
An 82-year-old female presented with TC in a non-sun-exposed area of the nasal cavity, which grew progressively over one year and caused nasal obstruction. The mass had dimensions of 15cm × 8cm, and it was removed surgically with a wide and deep excision. Histopathological examination confirmed the diagnosis of TC. A follow-up at three years post-surgery revealed no signs of recurrence.
Surgical excision with wide margins improved the treatment outcome by preventing local recurrence and providing satisfying cosmetic results.
外毛根鞘癌（TC）是一种罕见的、低级别皮肤恶性病变，起源于毛囊细胞。它通常发生在光照部位，尤其是面部、头皮、颈部和手背。我们报告一例成年女性，其鼻腔非暴露部位发生外毛根鞘癌，该肿瘤完全阻塞了右侧鼻腔。
一名82岁女性，鼻腔非阳光暴露部位出现外毛根鞘癌，肿瘤在一年时间内逐渐生长并导致鼻塞。肿块大小为15cm×8cm，通过广泛深部切除手术将其切除。组织病理学检查确诊为外毛根鞘癌。术后三年随访未发现复发迹象。
广泛切缘的手术切除通过预防局部复发并提供令人满意的美容效果，改善了治疗结果。
