A rare case of Brooke-Spiegler syndrome: integrated surgical treatment of multiple giant eccrine spiradenomas of the head and neck in a young girl

Portincasa, Aurelio; Cecchino, Liberato Roberto; Trecca, Eleonora M C; Lembo, Fedele; Annacontini, Luigi; Ciancio, Francesco; Corsi, Fabrizio; Cassano, Michele; Parisi, Domenico

doi:10.1016/j.ijscr.2018.08.021

Cited by 14 publications

(14 citation statements)

References 16 publications

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“…For more than 25 years, the artificial dermis has been successfully used in reconstructive surgery; up to now, however, there are still few reports of its use for reconstruction of complex facial and scalp defects, especially in older patients [1][2][3][4][5][6][7]. In particular, in the recent literature, there is no report of the use of Pelnac ® (Gunze Corp., Osaka, Japan) in head reconstruction following skin cancer resection.…”

Section: Introductionmentioning

confidence: 99%

Utility of a New Artificial Dermis as a Successful Tool in Face and Scalp Reconstruction for Skin Cancer: Analysis of the Efficacy, Safety, and Aesthetic Outcomes

Lembo

Cecchino

Parisi

et al. 2020

Dermatology Research and Practice

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Radical ablative surgery is the gold standard treatment of head skin cancer. The authors expose their experience with a new artificial dermis (Pelnac®), analyzing retrospectively the overall morbidity and aesthetic outcomes. 16 consecutive patients underwent two surgical procedures under local anesthesia. The first involved the tumor removal and application of the ADM. In the second, the exposed tissue was covered with a split-thickness skin graft. On follow-up (6 months), tumor recurrences, quality of scars (using the Vancouver Scar Scale), and patient reported outcomes (using FACE-Q Skin Cancer Module) were evaluated. 10 were males and 6 females, with a mean age of 73 years (61–89). The follow-up ranged from 12 to 48 months (mean: 30). The sites of skin tumor were scalp (12 cases), forehead (2), cheek (1), and zygomatic area (1). Nine patients underwent previous local surgery; two received radiotherapy. The average length of hospital stay was 3.2 days. The mean surface area of the defect was 59.15 cm2 (16.9–89.5). In three cases, the surgical bed was bone without periosteum. The malignant tumors excised were basal cell carcinoma (68.75%), squamous cell carcinoma (18.75%), malignant melanoma (6.25%), and sarcoma (6.25%). The mean operating time was 41 minutes for the first operation (25–55) and 34 for the second (25–48). No significant problems were observed and 15 patients (93.75%) had 100 percent intake of graft. The mean time of healing was 39 days (32–45). At 6 months post-op, no tumor recurrence. Satisfactory cosmetic and functional results were obtained in all patients as shown by the VSS Scale and FACEQ skin cancer module mean scores. We believe that the artificial dermis is a reliable alternative to flaps and should be considered an excellent option in head reconstruction for skin cancer, especially in critical patients (old, with large and deep defects, with recurrent tumors, required radiotherapy).

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Section: Introductionmentioning

confidence: 99%

Utility of a New Artificial Dermis as a Successful Tool in Face and Scalp Reconstruction for Skin Cancer: Analysis of the Efficacy, Safety, and Aesthetic Outcomes

Lembo

Cecchino

Parisi

et al. 2020

Dermatology Research and Practice

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“…Eccrine spiradenoma is a benign adnexal tumor that usually appears as a small, solitary, painful and gray -to-pink nodule and occurs equally in both males and females. Multiple eccrine spiradenoma is an extremely rare presentation comprising less than 2 % of all cases [ 3 ]. Multiple lesions have been reported to occur either in a random fashion or in linear, nevoid, blaschkoid and zosteriform patterns [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Giant vascular eccrine spiradenoma: the first case in the scrotum and review of the literature author

Jiang

et al. 2021

Diagn Pathol

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Background Giant vascular eccrine spiradenoma is a rare variant of eccrine spiradenoma. It is different from the eccrine spiradenoma in its larger size and greater degree of vascularity. It is often clinically confusedwith a vascular or malignant tumor. Case presentation Here, we report a case of a 67-year-old man who presented with a tumor in the scrotum scrotal region for 6 years. The tumor had begun as a small nodule and had grown slowly with over time. Surgical excision and pathological examination revealed that the lesion was the a giant vascular eccrine spiradenoma. Conclusion This study reports the first case of giant vascular eccrine spiradenoma in the scrotum.

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“…ES is frequently solitary while multiple cases are often hereditary, autosomal dominant genetic diseases and have family history. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic features of eccrine spiradenoma

Yuanyuan

Wu²,

Cao³

et al. 2021

Medicine

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Rationale: Eccrine spiradenoma (ES) is a rare benign skin adnexal tumor originating from eccrine sweat glands. The features of ES on ultrasonography (US) have received little attention. Therefore, we report the sonographic findings in a case of an ES that originated from the abdominal wall and discuss the previously reported cases. Patient concerns: A 53-year-old woman was admitted to our hospital with a complaint of a painful nodule on the right side of her abdominal wall of 1-year duration. Diagnoses: The mass on the right side of abdominal wall was diagnosed as ES by histopathological examination. Interventions: The patient subsequently underwent total excision of the mass. Outcomes: The patient recovered well and had no complications during the 1-year follow-up. Lessons: As eccrine spiradenoma (ES) is rare and most of the tumors are excised without prior imaging studies. Little is known regarding the features of ES on ultrasonography (US). Familiarizing with the clinical and US features of this rare tumor may increase awareness of the disease among sonographers and clinicians.

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A rare case of Brooke-Spiegler syndrome: integrated surgical treatment of multiple giant eccrine spiradenomas of the head and neck in a young girl

Cited by 14 publications

References 16 publications

Utility of a New Artificial Dermis as a Successful Tool in Face and Scalp Reconstruction for Skin Cancer: Analysis of the Efficacy, Safety, and Aesthetic Outcomes

Utility of a New Artificial Dermis as a Successful Tool in Face and Scalp Reconstruction for Skin Cancer: Analysis of the Efficacy, Safety, and Aesthetic Outcomes

Giant vascular eccrine spiradenoma: the first case in the scrotum and review of the literature author

Ultrasonographic features of eccrine spiradenoma

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