Çiftci Fatih, Abdurrahman Ibrahim
Vocational School of Health Services, Istanbul Gelişim University Avcılar, Istanbul, Turkey.
Department of Internal Medicine, Safa Hospital Bagcılar, Istanbul, Turkey.
Int J Clin Exp Med. 2015 Jul 15;8(7):11567-71. eCollection 2015.
Pilonidal sinuses (PS) predominantly affect young male adults, usually occurring in the sacrococcygeal region. However, PS occasionally occurs in other parts of the body, referred to as extrasacrococcygeal pilonidal sinus (ESPS). We herein evaluate ESPS ethiopathogenesis and treatment. Of a total of 949 PS cases treated between 2006 and 2011, 21 were of ESPS (2.2% of the total), which were evaluated retrospectively. The affected regions were the breast (n = 1), scalp (n = 2), sternum (n = 2), abdominal wall (n = 5), neck (n = 2), groin (n = 4), and axilla (n = 5). Lesions of the abdominal wall are rare, but less so than lesions in other regions. PS may mimic hidradenitis suppurativa histologically. To our knowledge, PS of the breast and groin have not previously been reported. Twelve of our patients reported shaving the affected region; we suggest this may have played a role in the disease pathogenesis.
藏毛窦（PS）主要影响年轻成年男性，通常发生在骶尾部。然而，PS偶尔也会出现在身体的其他部位，称为骶尾外藏毛窦（ESPS）。我们在此评估ESPS的病因发病机制和治疗方法。在2006年至2011年期间治疗的949例PS病例中，有21例为ESPS（占总数的2.2%），对其进行回顾性评估。受累部位包括乳房（n = 1）、头皮（n = 2）、胸骨（n = 2）、腹壁（n = 5）、颈部（n = 2）、腹股沟（n = 4）和腋窝（n = 5）。腹壁病变很少见，但比其他部位的病变少见程度稍低。藏毛窦在组织学上可能类似化脓性汗腺炎。据我们所知，以前尚未报道过乳房和腹股沟的藏毛窦。我们的12例患者报告在受累部位刮毛；我们认为这可能在疾病发病机制中起了作用。
