Multiple Large Cysts Arising from Nevus

Nevus comedonicus is a type of hamartoma that arises from a developmental anomaly of themesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acnelikeskin condition develops. Repeated inflammation can cause a morphological change to thecyst, papule, to abscess. We experi...

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Main Authors: Sang-Yeop Yi, Hyoung-Suk Kim, Seung-Hyun Lee, Hye-Kyung Lee, Hii-Sun Jeong
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-01-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-63.pdf
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author Sang-Yeop Yi
Hyoung-Suk Kim
Seung-Hyun Lee
Hye-Kyung Lee
Hii-Sun Jeong
author_facet Sang-Yeop Yi
Hyoung-Suk Kim
Seung-Hyun Lee
Hye-Kyung Lee
Hii-Sun Jeong
author_sort Sang-Yeop Yi
collection DOAJ
description Nevus comedonicus is a type of hamartoma that arises from a developmental anomaly of themesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acnelikeskin condition develops. Repeated inflammation can cause a morphological change to thecyst, papule, to abscess. We experienced a case of congenital nevus comedonicus, which ledto the formation of large multiple cysts. A 50-year-old man was referred with a 12.5×10 cmlobulated mass on the posterior neck and upper back. The patient had a widespread presenceof nevus comedonicus in the region ranging from the right superior chest to the posteriorneck. The patient had a 30-year history of six prior excisions. A magnetic resonance imagingreview led to a diagnosis of nevus comedonicus. Surgical treatment consisted of excision ofthe mass and wide excision for the patch type of nevus comedonicus around the neck. Onhistopathology, multiple masses were diagnosed as typical cysts containing keratinized tissue.The diffuse comedone lesions were diagnosed as nevus comedonicus. This case shows thatlarge, multiple cysts can occur as a long-term complication of nevus comedonicus, and alsohighlights the importance of radical resection to prevent its further invagination.
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spelling doaj.art-8213e17c7f5747838f202883319cf8a92022-12-22T03:58:46ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-01-013916366Multiple Large Cysts Arising from NevusSang-Yeop YiHyoung-Suk KimSeung-Hyun LeeHye-Kyung LeeHii-Sun JeongNevus comedonicus is a type of hamartoma that arises from a developmental anomaly of themesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acnelikeskin condition develops. Repeated inflammation can cause a morphological change to thecyst, papule, to abscess. We experienced a case of congenital nevus comedonicus, which ledto the formation of large multiple cysts. A 50-year-old man was referred with a 12.5×10 cmlobulated mass on the posterior neck and upper back. The patient had a widespread presenceof nevus comedonicus in the region ranging from the right superior chest to the posteriorneck. The patient had a 30-year history of six prior excisions. A magnetic resonance imagingreview led to a diagnosis of nevus comedonicus. Surgical treatment consisted of excision ofthe mass and wide excision for the patch type of nevus comedonicus around the neck. Onhistopathology, multiple masses were diagnosed as typical cysts containing keratinized tissue.The diffuse comedone lesions were diagnosed as nevus comedonicus. This case shows thatlarge, multiple cysts can occur as a long-term complication of nevus comedonicus, and alsohighlights the importance of radical resection to prevent its further invagination.http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-63.pdfCystsSebaceous of Jadassohn nevusNevus epidermal cyst
spellingShingle Sang-Yeop Yi
Hyoung-Suk Kim
Seung-Hyun Lee
Hye-Kyung Lee
Hii-Sun Jeong
Multiple Large Cysts Arising from Nevus
Archives of Plastic Surgery
Cysts
Sebaceous of Jadassohn nevus
Nevus epidermal cyst
title Multiple Large Cysts Arising from Nevus
title_full Multiple Large Cysts Arising from Nevus
title_fullStr Multiple Large Cysts Arising from Nevus
title_full_unstemmed Multiple Large Cysts Arising from Nevus
title_short Multiple Large Cysts Arising from Nevus
title_sort multiple large cysts arising from nevus
topic Cysts
Sebaceous of Jadassohn nevus
Nevus epidermal cyst
url http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-63.pdf
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AT hyoungsukkim multiplelargecystsarisingfromnevus
AT seunghyunlee multiplelargecystsarisingfromnevus
AT hyekyunglee multiplelargecystsarisingfromnevus
AT hiisunjeong multiplelargecystsarisingfromnevus