Management of Trichilemmal Keratinized Mass

Diagnostic and Treatment Considerations

• The British Journal of Dermatology recommends cryosurgery as an alternative treatment for benign trichilemmal keratosis, if the diagnosis is confirmed histologically 1, 2

Surgical Management

• The standard approach for trichilemmal carcinoma or malignant PTT is wide local excision with 3-5 mm margins, as supported by the British Journal of Dermatology 1, 2