关键词: case report hamartoma nevus sebaceous scalp

Mesh : Humans Male Adolescent Scalp / pathology Nevus, Sebaceous of Jadassohn / pathology Skin Neoplasms / pathology Forehead / pathology

来  源:   DOI:10.12688/f1000research.142548.2   PDF(Pubmed)

Abstract:
UNASSIGNED: Epidermal nevus sebaceous, commonly known as the nevus sebaceous of Jadassohn, is a congenital sebaceous hamartoma. It typically manifests as a single yellowish plaque across the head and neck and is composed of sebaceous glands. It commonly occurs during infancy and grows during puberty. Usually, it follows a benign course; however, in a few cases, it can be malignant. This is the case of a 13-year-old child with verrucous plaques on the temple and scalp.
UNASSIGNED: We report the case of a 13-year-old boy with a steadily developing hyperpigmented verrucous plaque on the scalp and ipsilateral side of his face. A dermoscopic examination revealed ridges and fissures in a cerebriform pattern with yellowish-gray globules and a papillary appearance. Physical examination and laboratory tests revealed no abnormalities. Biopsies were taken from the scalp and temple area, and the findings were consistent with the diagnosis of nevus sebaceous. The patient was referred to a plastic surgeon for a staged excision.
UNASSIGNED: We describe a unique example of a sebaceous nevus that affected the scalp and ipsilateral side of the face. As this hamartomatous growth carries the risk of cancer development, a dermatologist must identify the condition and begin treatment before malignant transformation occurs. This example of multiple verrucous plaques is an exception.
摘要:
皮脂腺表皮痣,通常被称为Jadassohn的皮脂腺痣,是先天性皮脂腺错构瘤.它通常表现为横跨头部和颈部的单个淡黄色斑块,并且由皮脂腺组成。它通常发生在婴儿期,并在青春期生长。通常,它遵循良性的过程;然而,在少数情况下,它可能是恶性的。这是一个13岁的孩子在太阳穴和头皮上有疣斑的情况。
我们报告了一个13岁男孩的病例,他的头皮和脸的同侧有一个稳定发展的色素沉着过多的疣斑。皮肤镜检查显示,脊状和裂隙呈脑状,呈黄灰色小球和乳头状外观。体格检查和实验室检查未发现异常。活检取自头皮和太阳穴区域,结果与皮脂腺痣的诊断一致。患者被转介给整形外科医生进行分阶段切除。
我们描述了一个皮脂腺痣的独特例子,该皮脂腺痣影响了头皮和脸的同侧。由于这种错构瘤的生长会带来癌症发展的风险,皮肤科医生必须确定病情并在恶性转化发生之前开始治疗。多个疣状斑块的这个例子是一个例外。
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