Ibrahim Amir E, Barikian Anita, Janom Hamed, Kaddoura Imad
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
J Craniofac Surg. 2012 Mar;23(2):e164-8. doi: 10.1097/SCS.0b013e31824cdbd2.
Trichilemmal cysts are common benign soft tissue tumors that occur in hairy areas, especially the scalp, where they present themselves as solitary masses that could be easily treated by surgical excision followed by pathologic identification. It is unusual to find these benign masses in very large numbers in 1 scalp. In the current article, we describe a 43-year-old woman who presented with 51 scalp masses, some of which recurred after repetitive excisions somewhere else by different surgeons under local anesthesia. These masses involved only the scalp and spared all the face. The patient presented to our clinic for a radical solution to clear her scalp from the unaesthetic look and appearance that forbid her from exposing her head and for hygienic reasons relating to the foul smell of repeated previous recurrences and infections. Her clinical presentation is described, and the suggested differential diagnosis and management for such a patient is discussed.
毛囊囊肿是常见的良性软组织肿瘤，发生于有毛发的部位，尤其是头皮，表现为孤立性肿块，通过手术切除并进行病理鉴定很容易治疗。在单个头皮上发现大量这些良性肿块是不寻常的。在本文中，我们描述了一名43岁女性，她有51个头皮肿块，其中一些在不同外科医生于局部麻醉下在其他地方反复切除后复发。这些肿块仅累及头皮，未累及面部。患者到我们诊所就诊，希望找到彻底的解决办法，以消除头皮上不美观的外观，这种外观使她不敢露头，同时也是出于与先前反复复发和感染的恶臭有关的卫生原因。本文描述了她的临床表现，并讨论了针对此类患者的鉴别诊断及处理建议。
