PT - JOURNAL ARTICLE AU - Evrenos, Mustafa Kürşat AU - Kerem, Hakan AU - Temiz, Peyker AU - Ermertcan, Aylin Türel AU - Yoleri, Levent TI - Malignant tumor of outer root sheath epithelium, trichilemmal carcinoma: <em>Clinical presentations, treatments and outcomes</em> AID - 10.15537/smj.2018.2.21085 DP - 2018 Feb 01 TA - Saudi Medical Journal PG - 213--216 VI - 39 IP - 2 4099 - http://smj.org.sa/content/39/2/213.short 4100 - http://smj.org.sa/content/39/2/213.full SO - Saudi Med J2018 Feb 01; 39 AB - Objectives: To emphasize different clinical features of tumor that can be misdiagnosed clinically.Methods: A total of 8 cases operated between September 2009 and 2016 at the Celal Bayar University, Faculty of Medicine were included in the study. Patients’ clinicopathological features, type of surgery and follow up information were evaluated.Results: Six patients were male. The average age was 75.50. The lesions were located on the head and neck, and chest wall. Six patients had a history of the rapid growth of lesion. There was no metastasis at the time of diagnosis. None of the patients needed adjuvant therapy. Mean follow up time was 19.37 months. None of the patients developed recurrence or metastasis.Conclusion: This tumor resembles basal or squamous cell carcinoma. The histopathological evaluation may lead to misdiagnosis. Regional or distant metastasis is very rare. There is no consensus about adjuvant therapy. Screening for metastasis and close follow up are mandatory.