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Trichoepithelioma

MedGen UID:
138112
Concept ID:
C0349658
Neoplastic Process
Synonym: Trichoblastoma
SNOMED CT: Trichoblastoma (878881002); Brooke's tumor (274898000); Epithelioma adenoides cysticum (274898000); Trichoepithelioma (274898000); Trichoblastoma (277942005); Trichoepithelioma (59186007); Brooke's tumor (59186007); Epithelioma adenoides cysticum (59186007)
 
HPO: HP:0025367
Monarch Initiative: MONDO:0020593

Definition

A benign hair follicle tumor whose tumor cells form rudimentary hair follicles but not actual hair shafts. A trichoepithelioma is usually less than one centimeter, firm, round, and shihy with yellow, pink, brown, or bluish color. They may occur multiply, usually on the face, and may gradually increase in number with age. [from HPO]

Conditions with this feature

Follicular atrophoderma and basal cell epitheliomata
MedGen UID:
87539
Concept ID:
C0346104
Neoplastic Process
Bazex-Dupre-Christol syndrome (BDCS) is an X-linked dominant disorder characterized by a triad of congenital hypotrichosis, follicular atrophoderma affecting the dorsa of the hands and feet, the face, and extensor surfaces of the elbows or knees, and the development of basal cell neoplasms, including basal cell nevi and basal cell carcinomas from the second decade onward (Yung and Newton-Bishop, 2005). Inoue et al. (1998) reviewed reports of a total of 125 patients with Bazex syndrome in 20 pedigrees. The disorder had been reported chiefly in France, and all of the patients were Caucasians. Hypotrichosis and follicular atrophoderma were the most commonly reported features, present in 84% and 83% of the patients, respectively; milia were reported in 76%, hypohidrosis in 54%, and nevoid basal cell carcinoma in 41%. Rombo syndrome (180730) has similar features, but shows autosomal dominant inheritance.

Professional guidelines

PubMed

Lobo Y, Blake T, Wheller L
Australas J Dermatol 2021 May;62(2):e192-e200. Epub 2021 Jan 5 doi: 10.1111/ajd.13537. PMID: 33403677
Nagy N, Farkas K, Kemény L, Széll M
Eur J Med Genet 2015 May;58(5):271-8. Epub 2015 Mar 14 doi: 10.1016/j.ejmg.2015.02.010. PMID: 25782638
Swanson PE, Fitzpatrick MM, Ritter JH, Glusac EJ, Wick MR
J Cutan Pathol 1998 Mar;25(3):153-9. doi: 10.1111/j.1600-0560.1998.tb01708.x. PMID: 9550314

Recent clinical studies

Etiology

Díaz-Flores L, Gutiérrez R, García MP, González-Gómez M, Rodríguez-Rodriguez R, Hernández-León N, Díaz-Flores L Jr, Carrasco JL
Int J Mol Sci 2021 Jul 8;22(14) doi: 10.3390/ijms22147342. PMID: 34298962Free PMC Article
Aslam A
Curr Treat Options Oncol 2017 Aug;18(8):49. doi: 10.1007/s11864-017-0491-z. PMID: 28681209
Mamelak AJ, Goldberg LH, Katz TM, Graves JJ, Arnon O, Kimyai-Asadi A
J Am Acad Dermatol 2010 Jan;62(1):102-106. doi: 10.1016/j.jaad.2009.06.066. PMID: 20082889
Carter JJ, Kaur MR, Hargitai B, Brown R, Slator R, Abdullah A
Clin Exp Dermatol 2007 Sep;32(5):522-4. Epub 2007 Apr 24 doi: 10.1111/j.1365-2230.2007.02431.x. PMID: 17459070
Inalöz HS, Chowdhury MM, Knight AG
J Eur Acad Dermatol Venereol 2001 Sep;15(5):481-3. doi: 10.1046/j.1468-3083.2001.00302.x. PMID: 11763398

Diagnosis

Karimzadeh I, Namazi MR, Karimzadeh A
Acta Dermatovenerol Croat 2018 Jun;26(2):162-165. PMID: 29989874
Stanoszek LM, Wang GY, Harms PW
Arch Pathol Lab Med 2017 Nov;141(11):1490-1502. doi: 10.5858/arpa.2017-0222-RA. PMID: 29072946
Johnson H, Robles M, Kamino H, Walters RF, Lee A, Sanchez M
Dermatol Online J 2008 Oct 15;14(10):5. PMID: 19061604
Inalöz HS, Chowdhury MM, Knight AG
J Eur Acad Dermatol Venereol 2001 Sep;15(5):481-3. doi: 10.1046/j.1468-3083.2001.00302.x. PMID: 11763398
BISHOP DW
Arch Ophthalmol 1965 Jul;74:4-8. doi: 10.1001/archopht.1965.00970040006003. PMID: 14303343

Therapy

Lobo Y, Blake T, Wheller L
Australas J Dermatol 2021 May;62(2):e192-e200. Epub 2021 Jan 5 doi: 10.1111/ajd.13537. PMID: 33403677
Arits AH, Van Marion AM, Lohman BG, Thissen MR, Steijlen PM, Nelemans PJ, Kelleners-Smeets NW
Eur J Dermatol 2011 Nov-Dec;21(6):870-3. doi: 10.1684/ejd.2011.1504. PMID: 21865121
Alessi SS, Sanches JA, Oliveira WR, Messina MC, Pimentel ER, Festa Neto C
Clinics (Sao Paulo) 2009;64(10):961-6. doi: 10.1590/S1807-59322009001000005. PMID: 19841702Free PMC Article
Fernandez-Flores A
Folia Histochem Cytobiol 2009;47(1):61-4. doi: 10.2478/v10042-009-0011-5. PMID: 19419939
Layegh P, Sharifi-Sistani N, Abadian M, Moghiman T
Indian J Dermatol Venereol Leprol 2008 Nov-Dec;74(6):632-4. doi: 10.4103/0378-6323.45109. PMID: 19171990

Prognosis

Gradecki SE, Eid MV, Pramoonjago P, Wick MR
Am J Dermatopathol 2021 Sep 1;43(9):637-641. doi: 10.1097/DAD.0000000000001859. PMID: 33264133
Kang KJ, Seo BF, Shin J, Kwon H, Byeon JH, Jung SN
J Craniofac Surg 2019 May/Jun;30(3):e197-e199. doi: 10.1097/SCS.0000000000005089. PMID: 30394977
Aslam A
Curr Treat Options Oncol 2017 Aug;18(8):49. doi: 10.1007/s11864-017-0491-z. PMID: 28681209
Gordon S, Fischer C, Martin A, Rosman IS, Council ML
Dermatol Surg 2017 Aug;43(8):1012-1016. doi: 10.1097/DSS.0000000000001142. PMID: 28654578
Carter JJ, Kaur MR, Hargitai B, Brown R, Slator R, Abdullah A
Clin Exp Dermatol 2007 Sep;32(5):522-4. Epub 2007 Apr 24 doi: 10.1111/j.1365-2230.2007.02431.x. PMID: 17459070

Clinical prediction guides

Mohanty SK, Sardana R, McFall M, Pradhan D, Usmani A, Jha S, Mishra SK, Sampat NY, Lobo A, Wu JM, Balzer BL, Frishberg DP
Appl Immunohistochem Mol Morphol 2022 Apr 1;30(4):273-277. doi: 10.1097/PAI.0000000000001002. PMID: 35384877
Baykal C, Atcı T, Yılmaz Z, Büyükbabani N
J Cutan Pathol 2021 Jul;48(7):884-895. Epub 2021 Mar 9 doi: 10.1111/cup.13979. PMID: 33569789
Kang KJ, Seo BF, Shin J, Kwon H, Byeon JH, Jung SN
J Craniofac Surg 2019 May/Jun;30(3):e197-e199. doi: 10.1097/SCS.0000000000005089. PMID: 30394977
Nagy N, Farkas K, Kemény L, Széll M
Eur J Med Genet 2015 May;58(5):271-8. Epub 2015 Mar 14 doi: 10.1016/j.ejmg.2015.02.010. PMID: 25782638
Jemec B, Løvgreen Nielsen P, Jemec GB, Balsev E
Dermatol Online J 1999 May;5(1):1. PMID: 10673444

Recent systematic reviews

Lobo Y, Blake T, Wheller L
Australas J Dermatol 2021 May;62(2):e192-e200. Epub 2021 Jan 5 doi: 10.1111/ajd.13537. PMID: 33403677

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