By Gary M. White, MD

The trichilemmal carcinoma is a rare adnexal tumor of the hair sheath. It is the malignant counterpart of trichilemmoma, and it has been reported in the literature as trichilemmal carcinoma, tricholemmal carcinoma, malignant trichilemmoma, and tricholemmocarcinoma.


Give the rare reports of metastasis, wide local excision has been done. A report of 7 patients treated with Mohs surgery found no recurrences nor metastasis [JAAD 2015;72;195].


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