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Folliculoma Follow-up

  • Author: Craig G Burkhart, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Feb 09, 2016
 

Complications

Folliculomas are not associated with complications, and cancerous tendencies have not been reported; they are completely benign growths.

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Prognosis

Folliculomas are benign asymptomatic lesions that may present as a cosmetic problem. Clinically, they are more likely to be confused with a more serious entity, ie, basal cell carcinoma; however, they have no malignant potential. Prognosis of folliculomas is excellent because it has no sinister sequelae. Recurrence can occur if the lesion is not totally removed on excision.

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Patient Education

Patients need to know that these lesions are totally benign and require no follow-up care. The lesion may need to be excised to confirm the diagnosis. Lesions may recur if not totally removed.[11]

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Contributor Information and Disclosures
Author

Craig G Burkhart, MD, MPH Clinical Professor, Department of Medicine, Medical College of Ohio; Clinical Assistant Professor, Department of Medicine, Ohio University College of Osteopathic Medicine

Craig G Burkhart, MD, MPH is a member of the following medical societies: Association of Military Dermatologists, American College of Aesthetic and Cosmetic Physicians; American Society of Aesthetic/Cosmetic Physicians, Michigan Dermatological Society, Academy of Medicine of Toledo and Lucas County, Ohio Dermatological Association, American Academy of Dermatology, Ohio State Medical Association, Phi Beta Kappa

Disclosure: Nothing to disclose.

Coauthor(s)

Craig N Burkhart, MD MSBS, Assistant Professor, Department of Dermatology, University of North Carolina at Chapel Hill School of Medicine

Craig N Burkhart, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, American Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Michael J Wells, MD, FAAD Associate Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine

Michael J Wells, MD, FAAD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, Texas Medical Association

Disclosure: Nothing to disclose.

Jeffrey P Callen, MD Professor of Medicine (Dermatology), Chief, Division of Dermatology, University of Louisville School of Medicine

Jeffrey P Callen, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, American College of Rheumatology

Disclosure: Received income in an amount equal to or greater than $250 from: XOMA; Biogen/IDEC; Novartis; Janssen Biotech, Abbvie, CSL pharma<br/>Received honoraria from UpToDate for author/editor; Received honoraria from JAMA Dermatology for associate editor and intermittent author; Received royalty from Elsevier for book author/editor; Received dividends from trust accounts, but I do not control these accounts, and have directed our managers to divest pharmaceutical stocks as is fiscally prudent from Stock holdings in various trust accounts include some pharmaceutical companies and device makers for i inherited these trust accounts; for: Celgene; Pfizer; 3M; Johnson and Johnson; Merck; Abbott Laboratories; AbbVie; Procter and Gamble; Amgen.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

References
  1. Cole P, Kaufman Y, Dishop M, Hatef DA, Hollier L. Giant, congenital folliculosebaceous cystic hamartoma: a case against a pathogenetic relationship with trichofolliculoma. Am J Dermatopathol. 2008 Oct. 30(5):500-3. [Medline].

  2. Schulz T, Hartschuh W. Folliculo-sebaceous cystic hamartoma is a trichofolliculoma at its very late stage. J Cutan Pathol. 1998 Aug. 25(7):354-64. [Medline].

  3. Kurokawa I, Kusumoto K, Sensaki H, Shikata N, Tsubura A, Nishijima S. Trichofolliculoma: case report with immunohistochemical study of cytokeratins. Br J Dermatol. 2003 Mar. 148(3):597-8. [Medline].

  4. Ishii N, Kawaguchi H, Takahashi K, Nakajima H. A case of congenital trichofolliculoma. J Dermatol. 1992 Mar. 19(3):195-6. [Medline].

  5. Peterdy GA, Huettner PC, Rajaram V, Lind AC. Trichofolliculoma of the vulva associated with vulvar intraepithelial neoplasia: report of three cases and review of the literature. Int J Gynecol Pathol. 2002 Jul. 21(3):224-30. [Medline].

  6. Bogle MA, Cohen PR, Tschen JA. Trichofolliculoma with incidental focal acantholytic dyskeratosis. South Med J. 2004 Aug. 97(8):773-5. [Medline].

  7. Mizutani H, Senga K, Ueda M. Trichofolliculoma of the upper lip: report of a case. Int J Oral Maxillofac Surg. 1999 Apr. 28(2):135-6. [Medline].

  8. Hartschuh W, Schulz T. Immunohistochemical investigation of the different developmental stages of trichofolliculoma with special reference to the Merkel cell. Am J Dermatopathol. 1999 Feb. 21(1):8-15. [Medline].

  9. Manabe M, Yaguchi H, Iqbal Butt K, O'Guin WM, Loomis CA, Sung TT, et al. Trichohyalin expression in skin tumors: retrieval of trichohyalin antigenicity in tissues by microwave irradiation. Int J Dermatol. 1996 May. 35(5):325-9. [Medline].

  10. Zimmermann T, Hartschuh W, Raulin C. [Facial folliculo-sebaceous cystic hamartoma. Treatment with CO2 and Er:YAG lasers]. Hautarzt. 2004 Mar. 55(3):289-91. [Medline].

  11. Morton AD, Nelson CC, Headington JT, Elner VM. Recurrent trichofolliculoma of the upper eyelid margin. Ophthal Plast Reconstr Surg. 1997 Dec. 13(4):287-8. [Medline].

  12. Gray HR, Helwig EB. Trichofolliculoma. Arch Dermatol. 1962. 86:619-25.

  13. Miescher G. Trichofolliculoma. Dermatologica. 1944. 89:193-194.

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