Ebisudani Shogo, Suzuki Yoshinori, Osugi Ikuko, Takasu Miori
Department of Plastic and Reconstructive Surgery, Kawasaki Medical School, Okayama, Japan.
Plast Reconstr Surg Glob Open. 2021 Jul 19;9(7):e3712. doi: 10.1097/GOX.0000000000003712. eCollection 2021 Jul.
We treated a patient with juvenile xanthogranuloma on the upper lip. A yellow, elastic, hard tumor on the upper lip was evident from birth, which gradually increased in size. The patient was examined at our department at the age of 7 months, at which time the mass extended from the upper lip to the nasal cavity and measured approximately 1 cm. There was a risk that the mass might obstruct the nasal cavity, and an incisional biopsy was conducted to obtain a definitive diagnosis. In histopathological testing, the patient was diagnosed with a juvenile xanthogranuloma. Part of the mass still remains on the upper lip, but has not increased in size during postoperative monitoring. Juvenile xanthogranuloma on the upper lip is extremely rare, and to the best of our knowledge, this is only the fourth case to be reported in the plastic surgery literature in English. In most cases, juvenile xanthogranuloma regresses spontaneously, and unnecessary surgery is to be avoided. The possibility of juvenile xanthogranuloma should always be considered for masses that increase in size in infants and young children, and it is important to reach a definitive diagnosis by skin biopsy.
我们治疗了一名上唇患有幼年性黄色肉芽肿的患者。患者自出生起上唇就有一个黄色、有弹性的硬肿块，且肿块大小逐渐增大。该患者在7个月大时到我们科室就诊，此时肿块已从上唇延伸至鼻腔，大小约为1厘米。肿块存在阻塞鼻腔的风险，因此进行了切开活检以明确诊断。在组织病理学检查中，患者被诊断为幼年性黄色肉芽肿。部分肿块仍留在上唇，但在术后监测期间大小未再增加。上唇幼年性黄色肉芽肿极为罕见，据我们所知，这是英文整形外科文献中报道的第四例。在大多数情况下，幼年性黄色肉芽肿会自行消退，应避免不必要的手术。对于婴幼儿中大小增大的肿块，应始终考虑幼年性黄色肉芽肿的可能性，通过皮肤活检明确诊断很重要。
