인중에 발생한 연골모양 땀샘종의 치험례

A Case Report of Chondroid Syringoma of Philtrum

  • 차정호 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김진우 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 신한경 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 정재학 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 김영환 (인제대학교 의과대학 부산백병원 성형외과학교실) ;
  • 선욱 (인제대학교 의과대학 부산백병원 성형외과학교실)
  • Cha, Jeong Ho (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine) ;
  • Kim, Jin Woo (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine) ;
  • Shin, Han Kyung (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine) ;
  • Jung, Jae Hak (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine) ;
  • Kim, Young Hwan (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine)
  • 투고 : 2010.06.16
  • 심사 : 2010.09.10
  • 발행 : 2010.11.10

초록

Purpose: Chondroid syringoma is a rare mixed tumor of the skin that was first described by Hirsch and Helwig (1961). Characteristically, it is composed of the proliferation of epithelial cells in a myxoid and chondroid matrix. Most lesions occur on the head and neck region, and their size may range from 0.5~3 cm. Since a chondroid syringoma presents similar characteristics to other masses on the head and neck region, it is significantly important to distinguish with other masses by a surgical biopsy. Methods: A 51-year old woman presented with a painless nodular mass ($0.5{\times}0.5{\times}0.5cm$) on the philtrum, which appeared during the previous year. The mass was treated with a laser without a surgical biopsy. However, the size of the mass showed no changes. Surgical excision under local anesthesia was performed and sent for histopathology. Results: Gross examination showed a mass surrounded by a well developed capsule within the dermal layer. After complete excision without injury to the orbicularis oris muscle, the wound was covered with a local flap. The histology examination revealed numerous cuboid epithelial cells with tuboalveolar structures and keratinous cysts within a chondroid stroma. No recurrence or metastasis was observed at the follow-up visits. Conclusion: Chondroid syringoma is a rare mass on the face. An accurate diagnosis is essential for optimal treatment. This paper reports a case of a chondroid syringoma on the philtrum with a brief review of the relevant literature.

키워드

참고문헌

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