A Case of Trichilemmal Carcinoma with Lung Metastasis.

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  • 肺転移を認めた外毛根鞘癌の1例

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We report an 81-year-old woman of trichilemmal carcinoma with lung metastasis. She noticed a dome-shaped hard tumor on her left axilla measuring 8∼10 cm in diameter. A tumor in her left hand had been resected two years previously. On admission, a chest X-ray showed a coin lesion measuring 2 cm in diameter in her left lung. All these tumors were treated surgically. The histopathology of the original tumor in her left hand showed the tumor mass to be lobular and infiltrating into the deeper dermis. The periphery of the tumor lobules presented with basaloid cells, and these cells became more cuboid in shape and clearer in color toward the center of lobules. Similar histopathological characteristics were observed in tumors of the left axilla and the lung. Based on these findings, trichilemmal carcinoma appears to metastasize easily to regional lymph nodes and lung.

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