- 期刊
陰囊瀰漫性表皮囊腫之手術治療：病例報告及文獻回顧
Surgical Treatment of Diffuse Scrotal Epidermal Cysts: Case Report
摘要
表皮囊腫是一種常見的表皮腫瘤，好發部位為臉，頸和軀幹。本病例是發生於陰囊，並且為瀰漫性。病人於七年前在陰囊處出現多發性小兵疹，且有劇癢。3年前曾到高醫附醫院皮膚科接受活體切片。病理報告是表皮囊腫，同時病人接受腫瘤之全部切除。術後三個月，這些小丘疹又再發並且數目變得更多而搔癢的症狀也未改善。轉至高醫附設醫院重建整形外科接受根除性切除及網狀分層皮膚移植，術後症狀大為改善且陰囊之外觀幾乎未受影響。茲在此提出此病例治療情形並作文獻回顧。
關鍵字
無資料並列摘要
Epidermal cysts are common, benign skin tumors that are found mainly on the face, neck, and trunk. This case was a 53-year-old male bus driver who had suffered from multiple papules on his scrotum for 7 years. This affliction had caused intractable itching and responded poorly to medical treatment. The patient received and excision of these papules (total 32) 3 years ago. According to the pathological reports, these papules were epidermal cysts; unfortunately, these papules recurred within 3 months after the operation and then resulted in itching more severe than before. The patient was again admitted to the hospital ward and received an operation in Oct. 1990. The diseased tissue (14cm × 8cm) was then excised and the defective scrotal skin was covered with a meshed, split-thickness skin graft. The cosmetic result was enhanced by the rugate appearance of the healed meshed graft. The patient was satisfied with both the functional and cosmetic results. The itching sensation on the scrotum improved and there was no recurrence of epidermal cysts within the graft area during the 9 month follow-up period. With this simple and safe operation, the result gave a satisfying improvement in both symptoms and appearance; so this case is offered for reference.
延伸閱讀
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