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KMID : 0903220100110020107
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Journal of the Korean Cleft Palate-Craniofacial Association
2010 Volume.11 No. 2 p.107 ~ p.110
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A Case Report of Chondroid Syringoma of Philtrum
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Cha Jeong-Ho
Kim Jin-Woo
Shin Han-Kyung
Jung Jae-Hak
Kim Young-Hwan
Sun Hook
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Abstract
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Purpose:Chondroid syringoma is a rare mixed tumor of the skin that was first described by Hirsch and Helwig(1961). Characteristically, it is composed of the proliferation of epithelial cells in a myxoid and chondroid matrix. Most lesions occur on the head and neck region, and their size may range from 0.5~3cm. Since a chondroid syringoma presents similar characteristics to other masses on the head and neck region, it is significantly important to distinguish with other masses by a surgical biopsy.
Methods:A 51-year old woman presented with a painless nodular mass(0.5× 0.5 × 0.5 cm) on the philtrum, which appeared during the previous year. The mass was treated with a laser without a surgical
biopsy. However, the size of the mass showed no changes. Surgical excision under local anesthesia was performed and sent for histopathology.
Results:Gross examination showed a mass surrounded by a well developed capsule within the dermal layer. After complete excision without injury to the orbicularis oris muscle, the wound was covered with a local flap. The histology examination revealed numerous cuboid epithelial cells with tuboalveolar structures and keratinous cysts within a chondroid stroma. No recurrence or metastasis was observed at the follow-up visits.
Conclusion:Chondroid syringoma is a rare mass on the face. An accurate diagnosis is essential for optimal treatment. This paper reports a case of a chondroid syringoma on the philtrum with a brief review of the relevant literature.
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KEYWORD
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Chondroid syringoma, Philtrum
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