Extirpation of Keratoacanthomas by Blunt Dissection

Habif, Thomas P

doi:10.1111/j.1524-4725.1980.tb00941.x

Cited by 4 publications

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“…Pringle and Helms 1 have shown the maneuver to be good for plantar warts and one of us (T.P.H. ) 2 has found it good for keratoacanthomas. We now find it as good for warts around and under nails.…”

Section: Commentmentioning

confidence: 96%

Extirpation of Subungual and Periungual Warts by Blunt Dissection

Habif

Graf

1981

The Journal of Dermatologic Surgery and Oncology

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Section: Commentmentioning

confidence: 96%

Extirpation of Subungual and Periungual Warts by Blunt Dissection

Habif

Graf

1981

The Journal of Dermatologic Surgery and Oncology

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Keratoacanthoma observed

Griffiths¹

2004

British Journal of Plastic Surgery

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Conventional advice for managing suspected keratoacanthoma is total excision because of concern that the lesion may be a squamous cell carcinoma and histological differentiation of the two lesions is difficult. Only isolated cases have been published where lesions have been observed, with photographic documentation, to spontaneous resolution. Over 11 years (1992-2002) the author made a primary clinical diagnosis of solitary keratoacanthoma in 19 patients based upon the history and lesion appearance. Two thigh skin graft donor site lesions, and one on the nose and one on the lower lip were excised when there was concern about their growth pattern. A fifth patient was not content to be observed and had the lesion curetted by an oncologist. The remaining 14 patients had observed lesions photographed sequentially until resolution. The commonest single site affected was the hand (five cases). The mean age was 65 years (42-86 years). The mean duration of the lesion at presentation was 9 weeks (4-28 weeks), and the mean time to resolution from appearance was 27 weeks (12-64 weeks). Mean follow-up after resolution was 3 years 5 months (range 9 months-8 years). No recurrences occurred. No scar revisions were necessary. Claims that resolved keratoacanthomas leave poor quality scars that may need surgical revision, were not confirmed in this illustrated series which is the largest published to date. The principles of observational management are outlined and the natural history of the condition and patterns of spontaneous resolution described.

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Keratoacanthoma

Schwartz¹

1994

Journal of the American Academy of Dermatology

242

132

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The keratoacanthoma is a common cutaneous neoplasm that most often occurs on sun-exposed sites in light-skinned persons of middle age or older. It is considered the prototype of cutaneous pseudo-malignancies because it is a rapidly growing tumor with a histologic pattern resembling squamous cell carcinoma. It may be best viewed as an aborted malignancy that only rarely progresses into an invasive squamous cell carcinoma. It is most likely derived from hair follicle cells. The common type of keratoacanthoma and its many variants are discussed with emphasis on clinical and histologic features, biologic behavior, and response to therapy.

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Extirpation of Keratoacanthomas by Blunt Dissection

Abstract: Fifteen patients with keratoacanthomas had their lesions removed by blunt dissection. There were recurrences in but two cases. Excellent cosmitic results were achieved.

Cited by 4 publications

References 3 publications

Extirpation of Subungual and Periungual Warts by Blunt Dissection

Extirpation of Subungual and Periungual Warts by Blunt Dissection

Keratoacanthoma observed

Keratoacanthoma

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