Treatment Outcome Evaluation of Multiple Familial Trichoepithelioma Cases Treated with Electrosurgery and Curettage: Review of Four Cases

Background: Multiple familial trichoepithelioma (MFT) is benign tumor arising from hair follicle, characterized by skin-colored papules usually located on the forehead, nose, cheek and chin. The management of MFT is challenging due to the recurrence and complication. This case series hence intended to evaluate the treatment outcome of four MFT cases treated with electrosurgery and curettage in Dermatology and Venereology Department of Dr. M. Djamil Hospital. Case report: Four cases of MFT in 20-year-old male patient, 13-year-old girl patient, 9-year-old girl patient and 16-year-old girl patient were reported. All patient developed smooth, shiny and skin colored-papules on the forehead, nose, cheek and chin. Lesions were distributed predominantly in the central face. Positive family history of similar presentation were presented by all patients. Histopathological examination revealed the diagnostic criteria of MFT. Patients were diagnosed as MFT and treated with electrosurgery and curettage. Treatment outcome evaluation described that first and fourth patient felt satisfied after treatment due to significant reduction of the lesion althought new lesions still persist. While, second and third patient felt less satisfied after the treatment, because there were recurrence and new lesions. Only first patient had atrophic surgical scarring and hyperpigmentation patches as complication. Discussion: Electrosurgery and curettage had possibility of partial removal resulting the persitence or recurrence lesion and the appearance of complications such as scar. Due to the complication of non-pharmacological procedure like electrosurgery and curettage, pharmacotherapy has been also investigated for MFT treatment.