CC BY-NC 4.0 · Arch Plast Surg 2012; 39(01): 63-66
DOI: 10.5999/aps.2012.39.1.63
Case Report

Multiple Large Cysts Arising from Nevus Comedonicus

Hii-Sun Jeong
Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
,
Hye-Kyung Lee
Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
,
Seung-Hyun Lee
Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
,
Hyoung-Suk Kim
Department of Plastic and Reconstructive Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
,
Sang-Yeop Yi
Department of Pathology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea
› Author Affiliations

Nevus comedonicus is a type of hamartoma that arises from a developmental anomaly of the mesodermal part of the pilosebaceous gland. In most cases of nevus comedonicus, an acne-like skin condition develops. Repeated inflammation can cause a morphological change to the cyst, papule, to abscess. We experienced a case of congenital nevus comedonicus, which led to the formation of large multiple cysts. A 50-year-old man was referred with a 12.5×10 cm lobulated mass on the posterior neck and upper back. The patient had a widespread presence of nevus comedonicus in the region ranging from the right superior chest to the posterior neck. The patient had a 30-year history of six prior excisions. A magnetic resonance imaging review led to a diagnosis of nevus comedonicus. Surgical treatment consisted of excision of the mass and wide excision for the patch type of nevus comedonicus around the neck. On histopathology, multiple masses were diagnosed as typical cysts containing keratinized tissue. The diffuse comedone lesions were diagnosed as nevus comedonicus. This case shows that large, multiple cysts can occur as a long-term complication of nevus comedonicus, and also highlights the importance of radical resection to prevent its further invagination.

This article was presented as a poster at the 68th Congress of the Korean Society of Plastic and Reconstructive Surgeons on November 4-7, 2010 in Seoul, Korea.




Publication History

Received: 19 August 2011

Accepted: 06 October 2011

Article published online:
01 May 2022

© 2012. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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