Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT

Wide local excision with a 1 cm margin is the standard treatment for proliferating trichilemmal tumor (PTT), but it is challenging to treat giant tumors, or tumors located on the scalp and face. We present a case of a 90-year-old woman with painful PTT on the cheek who was cured by a combination of...

Full description

Saved in:
Bibliographic Details
Main Authors: Caihe Liao, Mingshun Wu, Yeqiang Liu, Xiuli Wang, Guolong Zhang
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Photodiagnosis and Photodynamic Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1572100023005975
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850263891326533632
author Caihe Liao
Mingshun Wu
Yeqiang Liu
Xiuli Wang
Guolong Zhang
author_facet Caihe Liao
Mingshun Wu
Yeqiang Liu
Xiuli Wang
Guolong Zhang
author_sort Caihe Liao
collection DOAJ
description Wide local excision with a 1 cm margin is the standard treatment for proliferating trichilemmal tumor (PTT), but it is challenging to treat giant tumors, or tumors located on the scalp and face. We present a case of a 90-year-old woman with painful PTT on the cheek who was cured by a combination of limited resection and neoadjuvant ALA-PDT. Preoperative and postoperative 20 % ALA-PDT was used for a total of 6 sessions. PTT was resected 2 mm outside the clinical margins under local infiltration anesthesia. The PTT with a size of 69 × 59 × 37 mm was removed by limited resection. ALA-PDT was an effective therapy for local anti-inflammation and anti-tumor. The old woman received it well and recovered quickly. Limited resection combined with neoadjuvant ALA-PDT is an advanced treatment for giant PTT, which has the advantages of minimally invasive, effective and safe.
format Article
id doaj-art-e12ba76c1f634a6598cc780a17e46d7f
institution OA Journals
issn 1572-1000
language English
publishDate 2024-02-01
publisher Elsevier
record_format Article
series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-e12ba76c1f634a6598cc780a17e46d7f2025-08-20T01:54:51ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002024-02-014510387010.1016/j.pdpdt.2023.103870Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDTCaihe Liao0Mingshun Wu1Yeqiang Liu2Xiuli Wang3Guolong Zhang4Department of Phototherapy at Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, ChinaDepartment of Phototherapy at Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, ChinaDepartment of Pathology at Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, ChinaDepartment of Phototherapy at Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, China; Corresponding authors.Department of Phototherapy at Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai 200443, China; Corresponding authors.Wide local excision with a 1 cm margin is the standard treatment for proliferating trichilemmal tumor (PTT), but it is challenging to treat giant tumors, or tumors located on the scalp and face. We present a case of a 90-year-old woman with painful PTT on the cheek who was cured by a combination of limited resection and neoadjuvant ALA-PDT. Preoperative and postoperative 20 % ALA-PDT was used for a total of 6 sessions. PTT was resected 2 mm outside the clinical margins under local infiltration anesthesia. The PTT with a size of 69 × 59 × 37 mm was removed by limited resection. ALA-PDT was an effective therapy for local anti-inflammation and anti-tumor. The old woman received it well and recovered quickly. Limited resection combined with neoadjuvant ALA-PDT is an advanced treatment for giant PTT, which has the advantages of minimally invasive, effective and safe.http://www.sciencedirect.com/science/article/pii/S1572100023005975Proliferating trichilemmal tumorNeoadjuvant ALA-PDTLimited resectionPhotodynamic Therapy
spellingShingle Caihe Liao
Mingshun Wu
Yeqiang Liu
Xiuli Wang
Guolong Zhang
Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
Photodiagnosis and Photodynamic Therapy
Proliferating trichilemmal tumor
Neoadjuvant ALA-PDT
Limited resection
Photodynamic Therapy
title Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
title_full Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
title_fullStr Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
title_full_unstemmed Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
title_short Advanced treatment of giant proliferating trichilemmal tumor: Limited resection combined with neoadjuvant ALA-PDT
title_sort advanced treatment of giant proliferating trichilemmal tumor limited resection combined with neoadjuvant ala pdt
topic Proliferating trichilemmal tumor
Neoadjuvant ALA-PDT
Limited resection
Photodynamic Therapy
url http://www.sciencedirect.com/science/article/pii/S1572100023005975
work_keys_str_mv AT caiheliao advancedtreatmentofgiantproliferatingtrichilemmaltumorlimitedresectioncombinedwithneoadjuvantalapdt
AT mingshunwu advancedtreatmentofgiantproliferatingtrichilemmaltumorlimitedresectioncombinedwithneoadjuvantalapdt
AT yeqiangliu advancedtreatmentofgiantproliferatingtrichilemmaltumorlimitedresectioncombinedwithneoadjuvantalapdt
AT xiuliwang advancedtreatmentofgiantproliferatingtrichilemmaltumorlimitedresectioncombinedwithneoadjuvantalapdt
AT guolongzhang advancedtreatmentofgiantproliferatingtrichilemmaltumorlimitedresectioncombinedwithneoadjuvantalapdt