Multiple trichoepitheliomas successfully treated with a high-energy, pulsed carbon dioxide laser.

BACKGROUND

Multiple trichoepitheliomas are transmitted in an autosomal dominant fashion and can be clinically disfiguring. As with other dermal tumors, destructive techniques such as cryotherapy, electrodesiccation, and radiation therapy can improve the cosmetic appearance, but each of these treatments carries a significant risk of side effects and recurrence.

OBJECTIVE

We describe a patient with a severe case of recurrent multiple trichoepitheliomas following excision, cryotherapy, and electrodesiccation.

RESULTS

Treatment with a high-energy, pulsed carbon dioxide laser produced an excellent clinical response with no recurrence noted in the treated area for 12 months.

CONCLUSION

Laser vaporization of trichoepitheliomas using a pulsed carbon dioxide delivery system may provide superior clinical results without scanning and evidence of regrowth.