How is trichoepithelioma treated?

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Trichoepithelioma can also be called cystic adenoid epithelioma, which is a common benign tumor disease. Today, let me share with you how to treat trichoepithelioma?.

How is trichoepithelioma treated?

First, continuous CO2 laser, semiconductor laser or ultra pulse CO2 laser can be used for laser treatment, which is suitable for patients with small lesions. Operation points: after local anesthesia, continuous CO2 laser was used for 2-5W with spot diameter of 1mm; Ultrapulse CO2 laser with energy density of 2.0-5.5j/cm2 was used to vaporize the lesion layer by layer.

Second: surgical treatment for patients with large lesion area, surgical resection or surgical resection plus skin grafting is feasible.

Third, single type trichoepithelioma is often mistaken for pigmented intradermal nevus. Because it has no special clinical manifestations, pathological examination should be performed. However, in pathological examination, differential diagnosis is also difficult, especially for keratotic basal cell tumor, individual visual fields can hardly be distinguished, and comprehensive observation is needed before diagnosis. In gray's cases, there are more than 30% specimens, It was initially misdiagnosed as basal cell tumor.

matters needing attention

Single trichoepithelioma is only used to show lesions highly differentiated into hair structures. Single lesions with relatively low differentiation to hair structure are best classified as keratinizing basal cell carcinoma. Therefore, the skin lesions with enough conditions to be diagnosed as single trichoepithelioma should have many keratinocysts as well as setback dermal papillae, and basal cell carcinoma only in a few areas.