Ear Reconstruction with Preauricular Transposition and Helical Chondrocutaneous Advancement Flap After Excision of Trichilemmal Carcinoma

Ear Reconstruction with Preauricular Transposition and Helical Chondrocutaneous Advancement Flap After Excision of Trichilemmal Carcinoma

Trichilemmal carcinoma (TLC) is a fairly uncommon cutaneous malignancy with a favorable prognosis in the majority of cases. The gold standard of treatment is extensive local excision. The purpose of this study is to demonstrate the outcomes of a single-stage surgical approach that preserves the ear’s anatomical characteristics. We present a case of a 70-year-old man who was treated with a single-stage surgical technique for trichilemmal cancer of the ear. After six months, the ear seemed to have entirely healed with no evidence of recurrence.

___

  • Reis JP, Tellechea O, Cunha MF, Baptista AP. Trichilemmal carcinoma: review of S cases. J Cutan Pathol 1993;20(1):44-9. google scholar
  • Tolkachjov SN, Hocker TL, Camilleri MJ, Baum CL. Mohs micrographic surgery in the treatment of trichilemmal carcinoma: The Mayo Clinic experience. J Am Acad Dermatol 2015;72(1):195-6. google scholar
  • Headington JT. Tumors of the hair follicle. A review. Am J Pathol 1976;85(2):479-514. google scholar
  • Sun J, Zhang L, Xiao M, Li S, Chen R, Li Y, et al. Systematic analysis and case series of the diagnosis and management of trichilemmal carcinoma. Front Oncol 2023;12(January):1-15. google scholar
  • Hamman MS, Jiang SIB. Management of Trichilemmal carcinoma: An update and comprehensive review of the literature, Dermatologie Surg 2014;40(7):711-7. google scholar
  • Carr RA, Taibjee SM, Sanders DSA. Basaloid skin tumours: Basal cell carcinoma. Curr Diagnostic Pathol 2007;13(4):252-72. google scholar
  • Dalton MSR, Leboit PE. Squamous cell carcinoma with clear cells: How often is there evidence of tricholemmal differentiation? Am J Dermatopathol 2008;30(4):333-9. google scholar
  • Yi HS, Sym SJ, Park J, Cho EK, Ha S-Y, Shin DB, et al. Recurrent and Metastatic Trichilemmal Carcinoma of the Skin Over the Thigh: A Case Report. Cancer Res Treat 2010;42(3):176. google scholar
  • Xu DB, Wang T, Zhen L. Surgical Treatment of Trichilemmal Carcinoma. world J Oncol 2018;9(5-6):141-4. google scholar