Lee Jung Pil, Kim Yun-Jeong
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, #896 Pyungchon-dong, Anyang, Korea.
Korean J Ophthalmol. 2010 Jun;24(3):173-4. doi: 10.3341/kjo.2010.24.3.173. Epub 2010 Jun 5.
An 83-year-old woman had undergone an external dacryocystorhinostomy with silicone intubation. Before the surgery, no skin lesions were observed on the incision site. Three months after surgery, the patient complained of a brown-to-black pigmented elevation at her previous skin incision site. A punch biopsy of the pigmented mass was performed. The histopathologic findings confirmed the clinical diagnosis of irritated seborrheic keratosis (SK). SK can occur several months postoperatively and can suddenly increase in size, so surgeons need to carefully check patients' skin prior to surgery. To our knowledge, this is the first reported case of irritated SK discovered on a previous skin incision site.
一名83岁女性接受了硅胶插管外泪囊鼻腔造口术。手术前，切口部位未观察到皮肤病变。术后三个月，患者主诉其先前皮肤切口部位出现棕黑色色素沉着性隆起。对色素沉着肿物进行了打孔活检。组织病理学检查结果证实了刺激性脂溢性角化病（SK）的临床诊断。SK可在术后数月出现，且可突然增大，因此外科医生在手术前需要仔细检查患者的皮肤。据我们所知，这是首例报道的在先前皮肤切口部位发现的刺激性SK病例。
