Bilateral Facial Subcutaneous Sarcoidosis and Paraffinoma-A Case Report

雙側顏面皮下類肉瘤病及石蠟瘤－病例報告

紀乃齊(Nai-Chi Chi) ； 鄭世榮(Shih-Jung Cheng)

《臺灣口腔顎面外科學會雜誌》 28卷4期 (2017/12) Pp. 254-262

摘要

Sarcoidosis is a multisystem granulomatous disorder of unknown cause. Subcutaneous sarcoidosis is a rare variant of cutaneous sarcoidosis. Oral corticosteroids are the mainstay of treatment for subcutaneous sarcoidosis. We reported a patient of 69-year-old woman with bilateral subcutaneous sarcoidosis and foreign body granuloma (paraffinoma). Physical examination identified three soft tissue masses in her bilateral cheek. Computed tomography-guided biopsy and incisional biopsy of the skin found granulomatous inflammation, consistent with sarcoidosis and paraffinoma. Using oral steroid treatment and intralesional steroid injection, the lesions improved and were well controlled.

關鍵字

Subcutaneous sarcoidosis ； Paraffinoma

並列摘要

類肉瘤病是一種可侵犯全身各系統的肉芽腫病變，皮下類肉瘤病是皮膚類肉瘤病的一種罕見變異。治療皮下類肉瘤病以口服皮質類固醇爲主。本病例報告一個69歲女性患有雙側皮下類肉瘤病及石蠟瘤，臨床檢查發現兩側臉頰共有三處軟組織腫塊，電腦斷層導引切片和皮膚切片顯示爲肉芽腫炎症（與類肉瘤病一致）及異物肉芽腫（石蠟瘤）。在口服類固醇及局部類固醇注射治療下，病灶有明顯改善及獲得良好控制。

並列關鍵字

皮下類肉瘤病 ； 石蠟瘤