Retrospective examine of subcutaneous nodular lesions occured on scalp

Year 2013, , 190 - 194, 01.12.2013

Can Yaldız Mahizer Yaldız Davut Ceylan

https://doi.org/10.5505/sakaryamj.2013.00710

Abstract

Introduction: Benign tumors of the skin are one of the most common pathologies that can be seen in clinical practice. Scalp is one of the most common localization for the subcutanous skin lesions. Many benign tumors can be occured from different cells that forms the histological structure of the skin. The trichilemmal cyst, epidermoid cyst and lipoma are tumoral lesions that causes subcutaneous nodules in the scalp. This retrospective study examines,among 52 patients, 62 subcutaneous nodular lesions that excised totally from scalp.Material-method: In this retrospective study,62 subcutanous nodular lesions that excised totally from scalp, among 52 patients who were admitted to Dermatology and/or Neurosurgery Clinics of Sakarya University Training and Research Hospital between 2009 and 2011,are examined.Findings: 27 (51,9 %) of the patients were female, and 25 (48,1 %) were male. The mean age was found as 47,5 (ages 21-82). 34 (54,8 %) lesions were revealed as trichilemmal cysts, 16 (25,8 %) of them were revealed as lipomas and 8 (12,4 %) of them were found as epidermoid cysts, the rest of the pathologies were 2 (3,2 %) pilomatrixomas, and 2 (3,2 %) fibrolipomas. Result: Our study signified that trichilemmal cysts are the most common subcutaneous nodules that occures on scalp. Additionally, lipomas and epidermoid cysts were the other common subcutanous scalp lesions that can be seen in clinical practice.

Keywords

Scalp, subcutaneous nodule, trichilemmal cyst

Saçlı Deri Yerleşimli Subkutan Nodüler Lezyonun Retrospektif Analizi

Abstract

Giriş: Derinin selim tümörleri klinik pratikte sık gözlenen patolojilerdendir. Saçlı deri, derinin selim tümörlerinin yerleşimi açısından sık görülen bölgelerden birisidir. Derinin histolojik yapısını oluşturan farklı hücrelerden çok sayıda selim tümör oluşabilmektedir. Trikilemmal kist, epidermal kist ve lipom, saçlı deride subkutan nodüle neden olan tümoral lezyonlardandır. Bu çalışmada, 52 hastada, saçlı deri yerleşimli ve total eksize edilen 62 subkutan nodül retrospektif olarak incelenmiştir.Materyal-metod: Bu retrospektif çalışmada, 2009-2011 yılları arasında, Sağlık Bakanlığı Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi Dermatoloji ve/veya Beyin Cerrahisi polikliniğine saçlı deride kitle şikayetiyle başvuran 52 hastada, beyin cerrahisi tarafından total olarak eksize edilen toplam 62 lezyon incelenmiştir.Bulgular: Hastaların 27'si kadın (% 51,9), 25'i erkek (% 48,1) idi. Yaş ortalaması 47,5 (21-82 yaş) olarak belirlendi. Lezyonların 34'ü (% 54,8) trikilemmal kist, 16'sı (% 25,8) lipom, 8'i (% 12,4) epidermal kist, 2'si (% 3,2) pilomatriksoma ve 2'si (% 3,2) fibrolipom olarak saptandı. Sonuç: Çalışmamız sonucunda trikilemmal kistlerin saçlı deride yerleşen subkutan nodüller arasında en sık gözlemlenen patoloji olduğu saptandı. Lipom ve epidermal kistler de diğer sık görülen subkutan nödüller olarak tespit edildi.

Keywords

Saçlı deri, subkutan nodül, trikilemmal kist

References

• Grossman RG, Loftus CM. Principles of Neurosurgery. Second Edition. Philedelphia: Lippincott- Raven Publishers 1999;445-449.
• Riebel T, David S, Thomale UW. Calvarial dermoids and epidermoids in infants and children: sonographic spectrum and follow up. Childs Nerv Syst 2008;24:1327-1332.
• Wackym PA, Feverman T, Strasnick B, Calceterrra TC. Reconstruction of massive defects of the scalp, cranium and dura after resection of scalp neoplasms. Head Neck 1990;12:247-253.
• Wecht DA, Sawaya R. Lesions of the calvaria Surgical experience with 42 Patients. Annals of Surgical Oncology 1997;4:28-36.
• Demirdöver C, Sevindik M, Voyvoda H, Yılmaz M. Nadir bir lokalizasyonda dev pilomatriksoma: Olgu sunumu ve literartür derlemesi. Turk Plast Surg 2011;19:36-8.
• Erol F, Arıcı L, Kaplan M, Akgün B. 37 Olguda skalp ve kalvaryum’un neoplastik lezyonları: Literatür gözden geçirilmesi. Türk Nörosirürji Dergisi 2009;19:25-31.
• Gibson SE, Prayson RA. Primary skull lesions in the pediatric population: a 25 year experience. Arch Pathol Lab Med 2007;131:761-766.
• Lever WF, Schaumburg-Lever G. Histopatology of the Skin. 7 st ed. Philadelphia : Lippincott 1990:595-597.
• Noversen DN, Trask DM, Watson FH, Burket JM. Painful tumors of the skin : “LEND AN EGG”. J Am Acad Dermatol 1993;28:298- 300.
• Baykal C, Özkaya-Bayazıt E, Büyükbabani N. Erüptif anjiyomatöz lezyonlarda etyopatogenez ve ayırıcı tanı. Türk J Dermapathol 1996;3:147-155.
• Freedberg IM, Eisen AZ, Wolf K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB. Dermatology in general medicine. Benign epithelial tumors. 5 st ed. New York: McGraw- Hill 1999:873-890.
• Baykal C. Dermatoloji Atlası. 1. Baskı. İstanbul, Karakter Color 2000; 380-424.
• Mathis ED, Honningford JB, Rodriguez HE, Wind KP, Connolly MM, Podbielski FJ. Malignant proliferating trichilemmal tumor. Am J Clin Oncol 2001; 24:351-3.
• Jones EW. Proliferating epidermoid cyst. Arch Dermatol 1966;94:11-9
• Lopez-Rios F, Rodriguez-Peralto J, Aguilar A, Hernandez L, Gallego M. Proliferating trichilemmal cyst with fokal invasion: report of a case and a review of the literature. Am J Dermatopathol 2000;22:183-7.
• Browstein MH, Arluk DJ. Proliferating trichilemmal cyst: stimulant of squamous cell carcinoma. Cancer 1981;48:1207-14.
• Sau P, Graham JH, Helwig EB. Proliferating epithelial cysts: clinicopathological analysis of 96 cases. J Cutan Pathol 1995;22:394-406.
• Tierney E, Ochoa MT, Rudkin G, Soriano TT. Mohs’ micrographic surgery of a proliferating trichilemmal tumor in a young black man. Dermatol Surg 2005;31:359-63.
• Weiss J, Heine M, Grimmel M, Jung EG. Malignant proliferating trichilemmal cyst. J Am Acad Dermatol 1995;32:870-3.
• Sethi S, Singh UR. Proliferating trichilemmal cyst: report of two cases, one benign and the other malignant. J Dermatol 2002;29:214-20.
• Amaral AL, Nascimeneto AG, Goellner JR. Proliferating pilar (trichilemmal) cyst. Report of two cases, one with carcinomatous transformation and one with distant metastases. Arch Pathol Lab Med 1984;108:808-10.
• Truhan AP, Garden JM, Caro WA, Roenigk HH. Facial and scalp lipomas: Case reports and study of prevalence. J Dermatol Surg Oncol 1985;11:981-4.
• Yoon SH, Park SH. A study of 77 cases of surgically excised scalp and skull masses in pediatric patients. Child’s Nervous System 2008;24:459-465.
• Morragi AJ, Wick MR, Dehler LP. Pilomatrical neoplasms in children and young adults. Am J. Dermatopathol 1998;14:87,94.
• Kaddu S, Soyer HP, Hodl S, Kerl H. Morphological stages of pilomatricoma. Am J Dermatopathol 1996;18:333-8.
• Üstündağ N, Dervişoğlu S. Recently described lipomatous tumors and our 11 year-experience on lipomatous tumors. Cerrahpaşa J Med 2003;34:119-126.