Multiple Large Cysts Arising from Nevus Comedonicus
Nevus comedonicus is a type of hamartoma that arises from a developmental anomaly of the mesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acne-like skin condition develops. Repeated inflammation can cause a morphological change to the cyst, papule, to abscess. We ex...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2012-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.1.63 |
| _version_ | 1798006458973945856 |
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| author | Hii-Sun Jeong Hye-Kyung Lee Seung-Hyun Lee Hyoung-Suk Kim Sang-Yeop Yi |
| author_facet | Hii-Sun Jeong Hye-Kyung Lee Seung-Hyun Lee Hyoung-Suk Kim Sang-Yeop Yi |
| author_sort | Hii-Sun Jeong |
| collection | DOAJ |
| description | Nevus comedonicus is a type of hamartoma that arises from a developmental anomaly of the mesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acne-like skin condition develops. Repeated inflammation can cause a morphological change to the cyst, papule, to abscess. We experienced a case of congenital nevus comedonicus, which led to the formation of large multiple cysts. A 50-year-old man was referred with a 12.5×10 cm lobulated mass on the posterior neck and upper back. The patient had a widespread presence of nevus comedonicus in the region ranging from the right superior chest to the posterior neck. The patient had a 30-year history of six prior excisions. A magnetic resonance imaging review led to a diagnosis of nevus comedonicus. Surgical treatment consisted of excision of the mass and wide excision for the patch type of nevus comedonicus around the neck. On histopathology, multiple masses were diagnosed as typical cysts containing keratinized tissue. The diffuse comedone lesions were diagnosed as nevus comedonicus. This case shows that large, multiple cysts can occur as a long-term complication of nevus comedonicus, and also highlights the importance of radical resection to prevent its further invagination. |
| first_indexed | 2024-04-11T12:55:24Z |
| format | Article |
| id | doaj.art-8907a30aae1a4bd8b979ff7d78466d25 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T12:55:24Z |
| publishDate | 2012-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-8907a30aae1a4bd8b979ff7d78466d252022-12-22T04:23:05ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-01-013901636610.5999/aps.2012.39.1.63Multiple Large Cysts Arising from Nevus ComedonicusHii-Sun Jeong0Hye-Kyung Lee1Seung-Hyun Lee2Hyoung-Suk Kim3Sang-Yeop Yi4Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, KoreaDepartment of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, KoreaDepartment of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, KoreaDepartment of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, KoreaDepartment of Pathology, Myongji Hospital, Kwandong University College of Medicine, Goyang, KoreaNevus comedonicus is a type of hamartoma that arises from a developmental anomaly of the mesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acne-like skin condition develops. Repeated inflammation can cause a morphological change to the cyst, papule, to abscess. We experienced a case of congenital nevus comedonicus, which led to the formation of large multiple cysts. A 50-year-old man was referred with a 12.5×10 cm lobulated mass on the posterior neck and upper back. The patient had a widespread presence of nevus comedonicus in the region ranging from the right superior chest to the posterior neck. The patient had a 30-year history of six prior excisions. A magnetic resonance imaging review led to a diagnosis of nevus comedonicus. Surgical treatment consisted of excision of the mass and wide excision for the patch type of nevus comedonicus around the neck. On histopathology, multiple masses were diagnosed as typical cysts containing keratinized tissue. The diffuse comedone lesions were diagnosed as nevus comedonicus. This case shows that large, multiple cysts can occur as a long-term complication of nevus comedonicus, and also highlights the importance of radical resection to prevent its further invagination.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.1.63cystssebaceous of jadassohn nevusnevus epidermal cyst |
| spellingShingle | Hii-Sun Jeong Hye-Kyung Lee Seung-Hyun Lee Hyoung-Suk Kim Sang-Yeop Yi Multiple Large Cysts Arising from Nevus Comedonicus Archives of Plastic Surgery cysts sebaceous of jadassohn nevus nevus epidermal cyst |
| title | Multiple Large Cysts Arising from Nevus Comedonicus |
| title_full | Multiple Large Cysts Arising from Nevus Comedonicus |
| title_fullStr | Multiple Large Cysts Arising from Nevus Comedonicus |
| title_full_unstemmed | Multiple Large Cysts Arising from Nevus Comedonicus |
| title_short | Multiple Large Cysts Arising from Nevus Comedonicus |
| title_sort | multiple large cysts arising from nevus comedonicus |
| topic | cysts sebaceous of jadassohn nevus nevus epidermal cyst |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.1.63 |
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