Efficacy of Surgical Excision for Nevus Sebaceous - Vietnamese Experience.

Autor: Van TN; National Hospital of Dermatology and Venereology, Hanoi, Vietnam.; Hanoi Medical University, Hanoi, Vietnam., Thanh HL; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Manh TN; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Minh PPT; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Cao KP; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Hong SN; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Huu ND; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Cam VT; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Huyen ML; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Hau KT; National Hospital of Dermatology and Venereology, Hanoi, Vietnam., Gandolfi M; Unit of Dermatology, University of Parma, Parma, Italy., Satolli F; Unit of Dermatology, University of Parma, Parma, Italy., Feliciani C; Unit of Dermatology, University of Parma, Parma, Italy., Tirant M; University of Rome G. Marconi, Rome, Italy.; Psoriasis Eczema Clinic, Melbourne, Australia., Vojvodic A; Department of Dermatology and Venereology, Military Medical Academy of Belgrade, Belgrade, Serbia., Lotti T; University of Rome G. Marconi, Rome, Italy.
Jazyk: angličtina
Zdroj: Open access Macedonian journal of medical sciences [Open Access Maced J Med Sci] 2019 Jan 24; Vol. 7 (2), pp. 211-213. Date of Electronic Publication: 2019 Jan 24 (Print Publication: 2019).
DOI: 10.3889/oamjms.2019.001
Abstrakt: Background: Nevus Sebaceous (NS) is hamartoma predominantly composed of sebaceous glands and is classified as a type of epidermal nevus. In most case, clinical manifestation of NS is typical, so histopathology examination is important only in atypical lesions for its risk of malignancy. Clinical symptoms are plaques or papules (100%), appearing in the head area (100%) with smooth surface (65.8%), usually with hair loss (60.7%). The histopathology is mostly characterized by the image of sebaceous gland hyperplasia (100%), no hair follicles (60.7%) or immature follicles (14.3%).
Aim: The aim of our study is describing clinical and histopathological manifestation, make diagnosis and evaluate the best therapy.
Methods: Our study recruited 38 patients with NS, 3 patients (7.9%) with atypical aspects. All patients were treated by surgical excision.
Results: Complications as hair loss and infections were reported in 36.8% patients. No patients had recurrence after one year of treatment.
Conclusion: Based upon our experience, surgery is cheap, simple, associated with high aesthetics effectiveness and low recurrence rate, proposing as the first choice for treatment of NS.
Databáze: MEDLINE