The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Case of Suspected Pilomatricoma Removed by Surgical Method using Ultrasound Imaging

초음파 영상을 통한 수술적 방법에 의해 제거된 모기질종 의심 증례

  • Suhyeon Jeong (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Eunna Heo (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Jihun Kim (Dep. of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Seul Yi (School of Korean Medicine, Pusan National University) ;
  • Kang Kwon (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital) ;
  • Gi Young Yang (Dep. of Acupuncture and Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Hyungsik Seo (Dep. of Ophthalmology, Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital)
  • 정수현 (부산대학교 한방병원 안이비인후피부과) ;
  • 허은나 (부산대학교 한방병원 안이비인후피부과) ;
  • 김지훈 (부산대학교 한방병원 침구의학과) ;
  • 이슬 (부산대학교 한의학전문대학원) ;
  • 권강 (부산대학교 한방병원 안이비인후피부과) ;
  • 양기영 (부산대학교 한방병원 침구의학과) ;
  • 서형식 (부산대학교 한방병원 안이비인후피부과)
  • Received : 2024.10.04
  • Accepted : 2024.11.05
  • Published : 2024.11.25
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Abstract

Objectives : The purpose of this study is to report a suspected case of pilomatricoma that was removed through surgical treatment and to emphasize the necessity of histological examination for an accurate diagnosis. Methods : In a 67-year-old female patient, ultrasound examination revealed calcification in a lesion on the lower leg. Local anesthesia was administered using Bufonis Venenum pharmacopuncture solution. The lesion was excised using an 11th blade and a CO2 laser. Following excision, irrigation with So-yeom pharmacopuncture solution was performed, and the wound was closed with simple interrupted sutures. Postoperatively, the patient was prescribed Yeongyopaedok-san for 5 days to promote anti-inflammatory effects. Results : The lesion was completely removed, and there were no adverse effects until the surgical site fully healed. Conclusions : Preoperative ultrasound examination allowed for the assessment of the size, location, and characteristics of the lesion. Moving forward, postoperative histological examination is essential for an accurate diagnosis.

Keywords

References

  1. Textbook Compilation Committee of the Korean Dermatological Society. Textbook of Dermatology. 8th ed. Seoul:McGraw-Hill Education Korea. 2020:626,627.
  2. Julian GC, Bowers PW. A clinical review of 209 pilomatricoma. J Am Acad Dermatol. 1998;39:191-5.
  3. Kaddu S, Soyer HP, Cerroni L, Salmnofer W, Hodl S. Clinical and histopathologic spectrum of pilomatricomas in adults. Int J Dermatol. 1994;33:705-8.
  4. Jeong YI, Noh SH, Park K, Kim EJ, Park HJ. A Clinicopathological Study of Pilomatricomas in Patients over 50 Years of Age. Korean journal of dermatology. 2016;54(2):98-104.
  5. Lee HY. A Case of Pilomatricoma in Neck. J Clin Otolaryngol Head Neck Surg. 2000;11(1):160-2.
  6. Lee DJ, Kwon K, Seo HS. A Case of Epiderm al Cyst Using Surgical Method After Bufonis Venenum Pharmacopuncture Anesthesia. J Kore an Med Ophthalmol Otolaryngol Dermatol. 2017;30(2):165-9.
  7. Jeong MR, Kwon K, Seo HS. A Case Report of 2 Types of Epidermal Cyst Surgically Rem oved after Bufonis Venenum Pharmacopunct ure Anesthesia. J Korean Med Ophthalmol Otolaryngol Dermatol. 2020;33(4):126-32.
  8. Heo EN, Kwon K, Seo HS. A Case of Surgical Treatment of Lipoma Performed at the Korean Medicine Department. J Korean Med Ophthalmol Otolaryngol Dermatol. 2023;36(4):175-80.
  9. Malherbe A, Chenantia J. Note sur I'epithelioma calcifiedes glandes sebacees. Prog Med. 1880;8:826-8.
  10. Hashimoto K, Nelson RG, Lever WF. Calcifying epithelioma of Malherbe. Histochemical and electron microscopic studies. J Invest Dermatol. 1966;46(4):391-408.
  11. Korean Med Ophthalmol Otolaryngol Dermatol. Surgery & Dermatology of Korean medicine Vol 1. Surgery of Korean Medicine. Paju:Globooks. 2022:132,133,221.
  12. Yoo DH, Choi MK, Oh SH, Kwon DK, Jun IC, Son DK, Park SW. Pilomatricoma of the Subauricular Region. J Korean Assoc Maxillofac Plast Reconstr Surg. 2010;32(6):582-7.
  13. Moehlenbeck FW. Pilomatrixoma (calcifying epithelioma): A statistical study. Arch Dermatol. 1973;108(4):532-4.
  14. Lee SH, Choi DY, Baek YH, Lee JD. A Bibliographic Studies on the Bufonis Venenum for Clinical Treatment: Important to Toxicity and Processing. The Journal of Korean Acupuncture & Moxibustion Society. 2009;26(1):121-33.
  15. Yang HJ, Joo HA, Baek SC, Park JS, Hong SH. Anti-inflammatory effects of Hwangnyeonhaedok-tang and Fermented Hwangnyeonhaedok-tang. J Korean Med Ophthalmol Otolaryngol Dermatol. 2011;24(2):1-15.
  16. Lee DH, Nam JS, Jeong HS, Jang IS, Seo ES. Two Cases of Grade Four Pressure Ulcer Patients Treated with Pharmacopuncture Soyeom and Herbal Medicine Taklisodok-eum. Korean J Orient Int Med. 2010;31(2):388-94.
  17. Paunipagar BK, Griffith JF, Rasalkar DD, Chow LT, Kumta SM, Ahuja A. Ultrasound features of deep-seated lipomas. Insights Imaging. 2010;1(3):149-53.
  18. Ahuja AT, King AD, Kew J, King W, Metreweli C. Head and neck lipomas: sonographic appearance. AJNR Am J Neuroradiol. 1998;19(3):505-8.
  19. McBrien M, Victor T. Pathologic Diagnosis Pilomatrixoma. Arch Otolaryngol Head Neck Surg. 1988;114:1042-5.