| A Case Report of Chondroid Syringoma of Philtrum. |
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Jeong Ho Cha, Jin Woo Kim, Han Kyung Shin, Jae Hak Jung, Young Hwan Kim, Hook Sun |
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Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine, Busan, Korea. hwanps77@hanmail.net |
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| Abstract |
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 0.5~3 cm. 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 x 0.5 x 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. |
| Keywords:
Chondroid syringoma; Philtrum |
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