Saçlı Deri Yerleşimli Subkutan Nodüler Lezyonun Retrospektif Analizi

Giriş: Derinin selim tümörleri klinik pratikte sık gözlenen patolojilerdendir. Saçlı deri, derinin selim tümörlerinin yerleşimi açısından sık görülen bölgelerden birisidir. Derinin histolojik yapısını oluşturan farklı hücrelerden çok sayıda selim tümör oluşabilmektedir. Trikilemmal kist, epidermal kist ve lipom, saçlı deride subkutan nodüle neden olan tümoral lezyonlardandır. Bu çalışmada, 52 hastada, saçlı deri yerleşimli ve total eksize edilen 62 subkutan nodül retrospektif olarak incelenmiştir.Materyal-metod: Bu retrospektif çalışmada, 2009-2011 yılları arasında, Sağlık Bakanlığı Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi Dermatoloji ve/veya Beyin Cerrahisi polikliniğine saçlı deride kitle şikayetiyle başvuran 52 hastada, beyin cerrahisi tarafından total olarak eksize edilen toplam 62 lezyon incelenmiştir.Bulgular: Hastaların 27'si kadın (% 51,9), 25'i erkek (% 48,1) idi. Yaş ortalaması 47,5 (21-82 yaş) olarak belirlendi. Lezyonların 34'ü (% 54,8) trikilemmal kist, 16'sı (% 25,8) lipom, 8'i (% 12,4) epidermal kist, 2'si (% 3,2) pilomatriksoma ve 2'si (% 3,2) fibrolipom olarak saptandı. Sonuç: Çalışmamız sonucunda trikilemmal kistlerin saçlı deride yerleşen subkutan nodüller arasında en sık gözlemlenen patoloji olduğu saptandı. Lipom ve epidermal kistler de diğer sık görülen subkutan nödüller olarak tespit edildi.

Anahtar Kelimeler:

Saçlı deri, subkutan nodül, trikilemmal kist

Retrospective examine of subcutaneous nodular lesions occured on scalp

Introduction: Benign tumors of the skin are one of the most common pathologies that can be seen in clinical practice. Scalp is one of the most common localization for the subcutanous skin lesions. Many benign tumors can be occured from different cells that forms the histological structure of the skin. The trichilemmal cyst, epidermoid cyst and lipoma are tumoral lesions that causes subcutaneous nodules in the scalp. This retrospective study examines,among 52 patients, 62 subcutaneous nodular lesions that excised totally from scalp.Material-method: In this retrospective study,62 subcutanous nodular lesions that excised totally from scalp, among 52 patients who were admitted to Dermatology and/or Neurosurgery Clinics of Sakarya University Training and Research Hospital between 2009 and 2011,are examined.Findings: 27 (51,9 %) of the patients were female, and 25 (48,1 %) were male. The mean age was found as 47,5 (ages 21-82). 34 (54,8 %) lesions were revealed as trichilemmal cysts, 16 (25,8 %) of them were revealed as lipomas and 8 (12,4 %) of them were found as epidermoid cysts, the rest of the pathologies were 2 (3,2 %) pilomatrixomas, and 2 (3,2 %) fibrolipomas. Result: Our study signified that trichilemmal cysts are the most common subcutaneous nodules that occures on scalp. Additionally, lipomas and epidermoid cysts were the other common subcutanous scalp lesions that can be seen in clinical practice.

Keywords:

Scalp, subcutaneous nodule, trichilemmal cyst,

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