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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Matrical Carcinoma

I had a lesion removed from my left ear (superior helix) that pathology says is Matrical Carcinoma. My dermatologist has never seen this. He is researching what to do other than biopsy more tissue to get clear margins. There is little on the web about this. How concerned should I be? Other than removing it, what other follow up treatment should I consider? The Doctor said it can metastasize but thinks it was caught early. Advice?
posted on Tue, 24 Jun 2014
Twitter Sun, 8 Mar 2015 Answered on
Twitter Mon, 9 Mar 2015 Last reviewed on
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The recent treatment of matrical or pilomatrical carcinoma is as follows.
The most widely reported treatment for pilomatrical carcinoma is wide local excision with clear tumor margins. There is atechnique known as Mohs
micrographic surgery which is also an excellent treatment option. Currently, there is no consensus on surgical management, and standard excisional margins have not been defined.

Adjuvant radiation therapy may be necessary postexcision. Chemotherapy has been used in cases of extensive tumor invasion and in cases of metastasis. Please do not worry.
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Suggest Treatment For Matrical Carcinoma

Hi, Thanks for writing in. The recent treatment of matrical or pilomatrical carcinoma is as follows. The most widely reported treatment for pilomatrical carcinoma is wide local excision with clear tumor margins. There is atechnique known as Mohs micrographic surgery which is also an excellent treatment option. Currently, there is no consensus on surgical management, and standard excisional margins have not been defined. Adjuvant radiation therapy may be necessary postexcision. Chemotherapy has been used in cases of extensive tumor invasion and in cases of metastasis. Please do not worry.