Oertel Y C, Scott D M
Departments of Pathology and Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Ann Diagn Pathol. 1998 Oct;2(5):318-20. doi: 10.1016/s1092-9134(98)80025-7.
Steatocystoma multiplex is a rare condition characterized by multiple subcutaneous nodules classically located on the anterior chest. Diagnosis usually is made clinically or by biopsy. The lesions may be numerous, and surgical treatment may not be practical or the results may be unsatisfactory. Three patients with multiple subcutaneous nodules underwent fine needle aspiration, which produced smears with acellular debris. A diagnosis was possible in the first patient because of close collaboration with a dermatologist. The lesions in the other patients were recognized clinically and were confirmed cytologically by fine needle aspiration. A syringe holder allows the use of thin needles (22-gauge) to aspirate very small lesions (4 to 5 mm). Fine needle aspiration may provide a useful alternative to surgical methods in the treatment of these lesions because it is inexpensive, well-tolerated by the patients, and has no associated morbidity.
多发性皮脂囊肿是一种罕见疾病，其特征为多个皮下结节，典型部位在前胸。诊断通常依靠临床诊断或活检。病变可能很多，手术治疗可能不实用或效果不理想。三名有多个皮下结节的患者接受了细针穿刺抽吸，涂片显示为无细胞碎屑。由于与皮肤科医生密切合作，首例患者得以确诊。其他患者的病变经临床诊断，并通过细针穿刺抽吸进行细胞学确诊。注射器固定器允许使用细针（22号）抽吸非常小的病变（4至5毫米）。细针穿刺抽吸在这些病变的治疗中可能是一种有用的替代手术方法，因为它价格低廉，患者耐受性好，且无相关并发症。
