Lakhey Kshitiz, Puttur Namratha, Manoj Rohan, Garg Priya, Malik Nishtha
Dermatology, Venereology, and Leprosy, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Cureus. 2024 Jun 11;16(6):e62184. doi: 10.7759/cureus.62184. eCollection 2024 Jun.
A male patient in his early 20s presented to our outpatient clinic, having previously been misdiagnosed and unsuccessfully treated as a case of viral warts. Dermoscopic and histopathological evaluations revealed characteristic features of the nevus sebaceous. The lesion was eventually treated with an erbium-doped yttrium aluminum garnet (Er:YAG) laser after the patient declined surgical excision. Nevus sebaceous often presents with verrucous surfaces that make misdiagnosis common. A correct diagnosis is crucial due to potential neoplastic transformations. Histopathological analysis is essential for both the confirmation of disease and the exclusion of malignancy. Full-thickness surgical excision remains the preferred treatment.
一名20岁出头的男性患者前来我们的门诊就诊，此前他被误诊为病毒疣，治疗也未成功。皮肤镜和组织病理学评估显示了皮脂腺痣的特征性表现。在患者拒绝手术切除后，最终用掺铒钇铝石榴石（Er:YAG）激光对病变进行了治疗。皮脂腺痣通常表现为疣状表面，这使得误诊很常见。由于存在潜在的肿瘤转化，正确诊断至关重要。组织病理学分析对于疾病的确诊和排除恶性肿瘤都至关重要。全层手术切除仍然是首选的治疗方法。
