A Giant Nevus Sebaceous Lesion in an 18 Year-Old Male: A Case Report.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.92
Ali Khojasteh, Mehryar Nahaei
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Abstract

A nevus sebaceous is a rare type of lesion that most often occurs on the scalp but can appear anywhere on the head, face, neck, forehead, or scalp. Nevus sebaceous is benign lesion usually resulting from hyperplasia of different elements of the skin such as epithelial, sebaceous, follicular elements. This article discusses a patient with giant nevus sebaceous lesions on his scalp and right ear. An 18-year-old man came to the Plastic Surgery Outpatient Department, Shiraz University of Medical Sciences, Shiraz, Iran with a large gray brown Nevus like lesions on his scalp and on the right periauricular region. Both lesions gradually increased in size over the time, leading to giant papillomatosis lesions. The patient had no manifestations like pain or other symptoms. The operation was planned, and lesions excised and repaired with Local Flap and Full thickness skin graft, the patient was discharged after a day. After surgery, recovery was good and after 3 months there was no relapse and cosmetic result was excellent. This article shows the importance of surgery role in nevus sebaceous patients and discusses different types of treatments.

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一名 18 岁男性的巨大痣性皮脂腺病变:病例报告
皮脂腺痣是一种罕见的皮损类型,最常发生在头皮,但也可能出现在头部、面部、颈部、前额或头皮的任何部位。皮脂腺痣是一种良性病变,通常由上皮、皮脂腺、毛囊等不同的皮肤要素增生引起。本文讨论的是一名头皮和右耳巨大皮脂腺痣患者。伊朗设拉子市设拉子医科大学整形外科门诊部接诊了一名 18 岁的男子,他的头皮和右耳周出现了大片灰褐色痣样皮损。随着时间的推移,这两个病变逐渐增大,最终形成巨大乳头状瘤病病变。患者没有疼痛或其他症状。计划进行手术,切除病灶并用局部皮瓣和全厚皮肤移植修复,一天后患者出院。术后恢复良好,3 个月后没有复发,美容效果极佳。本文说明了手术在皮脂腺痣患者中的重要作用,并讨论了不同类型的治疗方法。
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