충청남도 지역에서 진단된 표피낭종에 대한 임상 및 병리조직학적 고찰 (A Clinical and Histopathological Study of Epidermal Cysts in the Province of Chungcheongnam-do)

서지정보

· 발행기관 : 대한피부과학회
· 수록지 정보 : 대한피부과학회지 / 47권 / 5호 / 516 ~ 523페이지
· 저자명 : 김성근, 권혁, 이성열, 이종석, 황규왕, 박영립, 김준혁, 조현득

초록

Background: Epidermal cysts are the most common type of epithelial cysts of the skin. There have been a few
studies to determine the clinical and histopathological characteristics of epidermal cysts.
Objective: The purpose of this study was to evaluate the clinicopathological characteristics of 243 cases of
epidermal cysts in the province of Chungcheongnam-do.
Methods: We retrospectively evaluated the clinical and histopathological features of 243 cases of epidermal cysts at
Soonchunhyang University Hospital in Cheonan from January 1998 to December 2008.
Results: The ratio of male to female patients was 1.7:1. The age distribution of subjects at the first visit ranged
from 11 months to 83 years. The most common site of occurrence was the face. The most common
histopathological change of the cystic wall was atrophy. Cystic contents such as calcifications, parakeratotic cells,
red blood cells as well as keratinous material were observed. We found stromal changes such as foreign body
reactions, fibrosis and granulation tissue. Forty-seven cases were clinically misdiagnosed as other diseases, but
subsequent histopathological findings demonstrated the presence of epidermal cysts. No particular relationship was
found among duration, size, atrophy of the cyst wall and calcification of keratin material.
Conclusion: We reaffirmed contiguity with previous reports. In addition, we found some cases could have been
clinically misdiagnosed as other diseases. In addition, there was a poor relationship between the duration of the
lesion and other variables such as the size of the lesion, the degree of atrophy of the cyst wall and calcification of
keratin material.

영어초록

Background: Epidermal cysts are the most common type of epithelial cysts of the skin. There have been a few
studies to determine the clinical and histopathological characteristics of epidermal cysts.
Objective: The purpose of this study was to evaluate the clinicopathological characteristics of 243 cases of
epidermal cysts in the province of Chungcheongnam-do.
Methods: We retrospectively evaluated the clinical and histopathological features of 243 cases of epidermal cysts at
Soonchunhyang University Hospital in Cheonan from January 1998 to December 2008.
Results: The ratio of male to female patients was 1.7:1. The age distribution of subjects at the first visit ranged
from 11 months to 83 years. The most common site of occurrence was the face. The most common
histopathological change of the cystic wall was atrophy. Cystic contents such as calcifications, parakeratotic cells,
red blood cells as well as keratinous material were observed. We found stromal changes such as foreign body
reactions, fibrosis and granulation tissue. Forty-seven cases were clinically misdiagnosed as other diseases, but
subsequent histopathological findings demonstrated the presence of epidermal cysts. No particular relationship was
found among duration, size, atrophy of the cyst wall and calcification of keratin material.
Conclusion: We reaffirmed contiguity with previous reports. In addition, we found some cases could have been
clinically misdiagnosed as other diseases. In addition, there was a poor relationship between the duration of the
lesion and other variables such as the size of the lesion, the degree of atrophy of the cyst wall and calcification of
keratin material.

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