Bahce Zeynep Sener, Akbulut Sami, Sogutcu Nilgun, Oztas Tulin
Department of Surgery, Diyarbakir Education and Research Hospital, 21400, Diyarbakir, Turkey.
Department of Pathology, Diyarbakir Education and Research Hospital, 21400, Diyarbakir, Turkey.
J Coll Physicians Surg Pak. 2015 Nov;25(11):839-40.
Acrochordons commonly develop from skin on the neck and axillar region, but may be found on any region of body. Although some predisposing factors have been implicated, the definite etiology has yet to be determined. We report the case of a 46-year female patient who presented with a large mass lesion on the inner aspect of the thigh. She stated that the swelling had emerged some 20 years ago and had progressively grown since then. Magnetic resonance imaging revealed a solid lesion with no anatomic relationship with musculoskeletal structures. Taking into account the basal width of the lesion, spinal anesthesia was administered and the lesion was excised with an intact surgical border of approximately 1 cm. The resulting defect was primarily closed. Ahistopathologic examination led to the diagnosis of an acrochordon with a size of 20 x 14 cm. To the best of our knowledge, this is the largest acrochordon lesion with the widest base reported in the literature.
皮赘通常发生于颈部和腋窝区域的皮肤，但也可见于身体的任何部位。尽管一些诱发因素已被提及，但其确切病因尚未确定。我们报告一例46岁女性患者，其大腿内侧出现一个巨大肿块病变。她说肿胀大约在20年前出现，此后逐渐增大。磁共振成像显示一个实性病变，与肌肉骨骼结构无解剖关系。考虑到病变的基底宽度，实施了脊髓麻醉，并完整切除了病变，手术切缘约1 cm。所形成的缺损进行了一期缝合。组织病理学检查诊断为大小为20×14 cm的皮赘。据我们所知，这是文献报道中基底最宽的最大皮赘病变。
