Surgical Management of Trichoepithelioma: A Case Report

Abstract

Introduction: Trichoepithelioma is a rare benign tumor, predominantly found on the face and scalp, with an unclear prevalence in general population. Low incidence and lack of evidences, made trichoepithelioma management still a controversial domain in dermatology.

Case: This study presented a 31-year-old woman with extensive trichoepithelioma on her nose, who underwent surgical excision and full-thickness skin grafting

Result: Patient showed satisfaction with favorable aesthetic result and the consequent improvement in quality of her daily life.

Discussion: Nasal intricate anatomy poses specific challenges in managing tumor like trichoepithelioma, emphasizing the importance of careful surgical planning. Surgical excision, Mohs surgery, and laser ablation are viable options, while non-surgical treatments such as topical therapies and cryotherapy are effective for superficial lesions. Patient satisfaction and quality of life are essential considerations, requiring open communication and psychological support. Emerging techniques, including advanced imaging, 3D bioprinting, and targeted molecular therapies, hold promise for optimizing trichoepithelioma management. Personalized approaches based on genetic profiling and collaborative research efforts are avenues for future exploration.

Conclusion: Surgical management of trichoepithelioma on the nose, while challenging due to aesthetic concerns, can yield favorable outcomes. The approach to trichoepithelioma management should consider lesion size, surgical and non-surgical options and preference of the patient. Proper excision and meticulous skin grafting may provide aesthetically pleasant result. Personalized care, including psychological support, is crucial for post-surgery patient satisfaction. Multidisciplinary collaboration optimizes patient care in these unique cases.