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Journal of the Korean Cleft Palate-Craniofacial Association 2010;11(2):107-110.
A Case Report of Chondroid Syringoma of Philtrum.
Jeong Ho Cha, Jin Woo Kim, Han Kyung Shin, Jae Hak Jung, Young Hwan Kim, Hook Sun
Department of Plastic and Reconstructive Surgery, Baik Hospital, Inje University, School of Medicine, Busan, Korea. hwanps77@hanmail.net
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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