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KMID : 0378019860290030039
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New Medical Journal
1986 Volume.29 No. 3 p.39 ~ p.43
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Syringocystadenoma Papilliferum and Nevus Sebaceus of Jadassohn Occurring as a Single Tumor
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Abstract
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Syringocystadenoma papilliferurr with nevus sebaceus combined in one lesion as a mixed tumor is rare and interesting.
Syringocystadenoma papilliferurr is a rare tumor of disputed origin that was first described by Werther in 1913. One third of the reported cases have been associated with nevus sebaceus of Jadassohn. A 2G-year-old woman was seen on August 10, 1985 in the Kangnam St. Mary´s Hospital Dermatologic Clinic for evaluation of a symptomatic lesion on occipital portion of scalp that lead ´,been present since birth. Examination revealed a 6 x 2.8 cm lesion that consisted of yellowish discolored plaque with papillary projection. It contained a solitary plaque measuring 0.7 x 0.5 cm in the center. Microscopically invagination of epithelium with formation of projecting villas-like structures into cystic spaces was shown. The papillary projections are lined by two rows of cells. A highly diagnostic feature is the presence of a dense celluar infiltrate composed of plasma cells in tae stroma of the tumor.
Large apocrine glands were in and below the syringocystadenoma papilliferurr portion of the tumor. The nevus sebaceus portion of the tumor showed many large groups of sebaceous glands immediately below the epidermis. A brief review of the literature and a discussion on the histogenesis of the tumor were made.
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