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KMID : 0903220110120010067
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Journal of the Korean Cleft Palate-Craniofacial Association
2011 Volume.12 No. 1 p.67 ~ p.70
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A Case Report of a Giant Epidermal Nevus on the Scalp
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Bae In-Ho
Eun Seok-Chan
Baek Rong-Min
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Abstract
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Purpose: Epidermal nevi are hamartomas of the skin with multiple clinical variants. Normally, epidermal nevi present at an early age, are found on the head and neck area, and have a female predominance. Only very rarely do epidermal nevi have an adult onset. Most lesions are small and giant Epidermal nevi(>5cm at its greatest diameter) are quite rare. Huge verrucous plaque was observed on the scalp of a 70-year-old man. He had been reclusive for a long time, and this problem might have played a crucial role in the development of the giant epidermal nevi.
Methods: A punch biopsy and MRI imaging were performed. The huge mass was resected. A local flap and split thickness skin graft was used for reconstruction.
Results: The histology examination revealed the characteristic findings of epidermal nevus. Postoperatively, the patient did not suffer from complications or recurrence.
Conclusion: A rare case of a huge epidermal nevus on the scalp of an elderly man was treated with a surgical excision. This is the oldest patient reported with an adult onset epidermal nevus in Korea
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KEYWORD
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Giant nevus, Epidermal nevus, Scalp
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