DESMOPLASTIC TRICHOEPITHELIOMA

By Gary M. White, MD

Desmoplastic Trichoepithelioma


The desmoplastic trichoepithelioma (DT) is a benign adnexal tumor. It usually a solitary lesion, but familial, multiple desmoplastic trichoepitheliomas have been described.

Clinical

A slow-growing, asymptomatic whitish papule or small plaque on the face of a woman is characteristic. The most classic lesions have a raised annular border and a depressed non-ulcerating center. The cheek is the most common site, followed by the nose, chin, forehead, periorbital region and lips.

Treatment

Surgical excision may be done. Individual lesions may be treated with C&D or observed if the diagnosis is assured. One lesion was followed and remained unchanged for 40 years [JAAD 1987;17;489-492].

Additional Pictures

Desmoplastic Trichoepithelioma

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