RESUMEN
An 83-year-old woman had undergone an external dacryocystorhinostomy with silicone intubation. Before the surgery, no skin lesions were observed on the incision site. Three months after surgery, the patient complained of a brown-to-black pigmented elevation at her previous skin incision site. A punch biopsy of the pigmented mass was performed. The histopathologic findings confirmed the clinical diagnosis of irritated seborrheic keratosis (SK). SK can occur several months postoperatively and can suddenly increase in size, so surgeons need to carefully check patients' skin prior to surgery. To our knowledge, this is the first reported case of irritated SK discovered on a previous skin incision site.
Asunto(s)
Anciano de 80 o más Años , Femenino , Humanos , Dacriocistorrinostomía/efectos adversos , Estudios de Seguimiento , Queratosis Seborreica/etiología , Terapia por Láser , Láseres de GasAsunto(s)
Humanos , Masculino , Anciano , Carcinoma Hepatocelular/complicaciones , Queratosis Seborreica/etiología , Neoplasias Hepáticas/complicaciones , Síndromes Paraneoplásicos/etiología , Carcinoma Hepatocelular/diagnóstico , Carcinoma Hepatocelular/cirugía , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/cirugíaRESUMEN
La queratosis seborreica clonal es una variante histológica rara de queratosis seborreica. Se informa sobre una paciente de sexo femenino, de 87 años de edad, que acudió a consulta de dermatología por presentar lesión tumoral única, de 10 centímetros de diámetro, localizada en abdomen, de 40 años de evolución y crecimiento lento, asociada a intenso prurito. Se diagnosticó clínicamente queratosis seborreica gigante y, desde el punto de vista histopatológico, una variante clonal. Se realizó extirpación quirúrgica de la lesión, con resultados satisfactorios.
Clonal seborrheic keratosis is a rare histological type of seborrheic keratosis. An 87 year-old female patient is presented that came for dermatology consultation due to a lone tumoral lesion, 10 cm in diameter, located in the abdomen, with 40 years of slow growth, associated to intense pruritus. It was clinically diagnosed as giant seborrheic keratosis, and the biopsy showed clonal variant. She had surgical extirpation of the lesion with satisfactory results.