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Image Number #776 (Desmoplastic Trichoepithelioma)

Diagnosis: Desmoplastic Trichoepithelioma

Description: White firm pearly lesion cheek

Clinical Features: Nodule,skin coloured

Pathology/Site Features: Cheek

Sex: M

Age: 26

Submitted By: Ian McColl

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Differential Diagnosis
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History: 1905tk Lesion on left and right cheeks for 9 months. Biopsy elsewhere reported as syringoma. Clinically desmoplastic trichoepithelioma but do you get desmoplastic syringomas or is that called microcystic adnexal carcinoma?

Description: Desmoplastic trichoepithelioma

Comments: Sections show a biopsy of a desmoplastic trichoepithelioma. There are strands of basaloid cells set within a desmoplastic stroma. There are small keratin cysts and some focal calcification.

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Desmoplastic Trichoepithelioma"

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