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Acne Infection01:27

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Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
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Giant Acrochordon Arising from the Thigh.

Zeynep Sener Bahce1, Sami Akbulut1, Nilgun Sogutcu2

  • 1Department of Surgery, Diyarbakir Education and Research Hospital, 21400, Diyarbakir, Turkey.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|November 19, 2015
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Summary

This case report details the largest acrochordon, a benign skin growth, ever documented. The 20 x 14 cm lesion was successfully excised from a patient's thigh.

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Area of Science:

  • Dermatology
  • Surgical Pathology

Background:

  • Acrochordons, or skin tags, are common benign neoplasms typically found on the neck and axillae.
  • The exact etiology of acrochordons remains undetermined, though predisposing factors are suggested.
  • This report focuses on an unusual presentation of an acrochordon in a distinct anatomical location.

Observation:

  • A 46-year-old female presented with a large, progressively growing mass on her inner thigh, present for 20 years.
  • Magnetic resonance imaging indicated a solid lesion without connection to musculoskeletal structures.
  • The lesion's significant basal width necessitated spinal anesthesia for surgical excision.

Findings:

  • Histopathological examination confirmed the diagnosis of an acrochordon.
  • The excised acrochordon measured 20 x 14 cm, representing the largest reported case in medical literature.
  • The surgical excision achieved an intact border of approximately 1 cm, with primary closure of the defect.

Implications:

  • This case expands the known spectrum of acrochordon presentation and size.
  • It highlights the importance of considering benign growths even when unusually large or located in atypical sites.
  • Further research may be warranted to understand potential factors contributing to extreme acrochordon growth.