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Case Reports
. 2014 Jan;6(1):19-20.
doi: 10.4103/0974-7753.136750.

Trichofolliculoma presenting as lobulated mass: a rare presentation

Jyotsna Naresh Bharti  1 , Biswajit Dey  1 , Parul Gautam  1 , Parth Desai  1 , Vinay Kamal  1
Affiliations
Case Reports

Trichofolliculoma presenting as lobulated mass: a rare presentation

Jyotsna Naresh Bharti et al. Int J Trichology. 2014 Jan.

Abstract

Trichofolliculoma represents abortive differentiation of pluripotent skin cells toward hair follicles. We present a case of an adult female with lobulated mass involving the tip and dorsum of the nose for the last 15 years. The systemic and radiological examinations were noncontributory. The clinical diagnosis was thought to be dermoid cyst. The fine-needle aspiration cytology of the lobulated mass was performed, and the cytology smears showed anucleate squames admixed with sebaceous cells. The possibility of a benign skin adnexal lesion was suggested. The biopsy was done, and the final diagnosis of trichofolliculoma was made. The wide local excision of the mass was performed, and no recurrence was noted during the follow-up of 1 year.

Keywords: Cytology; hair follicle; nose; sebaceous cells; skin adnexal.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Skin colored, lobulated mass over the tip and dorsum of nose
Figure 2
Figure 2
(a) Clusters of anucleate squames admixed with sebaceous cells (Giemsa, ×100). (b) Loose cluster of sebaceous cells (Giemsa, ×400). (c) Unremarkable epidermis along with dermis showing lobules of hair follicle structure (H and E, ×100). (d) Hair follicles showing varying degree of maturation (H and E, ×400)
See this image and copyright information in PMC

References

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