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CO2 laser therapy in a case of steatocystoma multiplex with prominent nodules on the face and neck

✍ Scribed by Riccardo Rossi; Pietro Cappugi; MariaLuisa Battini; Luciano Mavilia; Piero Campolmi


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
89 KB
Volume
42
Category
Article
ISSN
0011-9059

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✦ Synopsis


Abstract

Background Steatocystoma multiplex is an uncommon disorder which usually begins in adolescence or early adult life. The condition can be hereditary, as an autosomal dominant trait, or nonhereditary, as in this case.

Methods A 40‐year‐old woman presented with a history of asymptomatic nodules that began around puberty on the face. There was no family history of similar lesions. Clinical examination revealed multiple nodules distributed on the face and neck. The histopathologic examination of a biopsy specimen showed the typical features of steatocystoma multiplex. CO~2~ laser therapy without anesthesia was employed, and the contents were evacuated by squeezing the cysts with a pair of forceps.

Results Very good results were obtained with rapid healing, minimal invasiveness, and without anesthesia. There was no evidence of scar formation and no signs of recurrence at 2‐year follow‐up.

Conclusions Different treatments have been reported for steatocystoma multiplex. We consider CO~2~ laser therapy to be an ideal technique for the treatment of steatocystoma multiplex, especially when the lesions are localized in aesthetically important areas.