The desmoplastic trichieoithelioma is usually a solitary lesion, but familial, multiple desmoplastic trichoepitheliomas have been described.
A whitish papule or lesion on face of a woman is the classic presentation.
Surgical excision may be done. Individual lesions may be C&D'd or observed if the diagnosis is assured. One lesion was followed and remained unchanged for 40 years [JAAD 1987;17;489-492].
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