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Multiple large cysts arising from nevus comedonicus
Hii-Sun Jeong1, Hye-Kyung Lee, Seung-Hyun Lee
1Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Archives of Plastic Surgery
|July 12, 2012
Summary
Nevus comedonicus, a pilosebaceous gland hamartoma, can lead to large cysts due to inflammation. Radical surgical resection is crucial for managing this congenital skin condition and preventing complications.
Area of Science:
- Dermatology
- Pathology
Background:
- Nevus comedonicus is a hamartoma originating from pilosebaceous gland anomalies.
- It often presents as an acne-like condition, with potential for inflammatory complications like cysts and abscesses.
Purpose of the Study:
- To report a case of congenital nevus comedonicus with extensive cyst formation.
- To emphasize the long-term complications and surgical management of this condition.
Main Methods:
- Case presentation of a 50-year-old male with a large neck and back mass.
- Diagnosis confirmed via magnetic resonance imaging and histopathology.
- Surgical excision of the mass and affected skin areas.
Main Results:
- Histopathology revealed multiple keratin-filled cysts consistent with nevus comedonicus.
- The patient presented with a 12.5x10 cm lobulated mass and widespread lesions.
- Multiple prior excisions had been performed over 30 years.
Conclusions:
- Nevus comedonicus can develop into large, multiple cysts as a long-term complication.
- Radical resection is vital to prevent further invagination and manage the condition effectively.
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