Siringomas periorbitários - excisão com tesoura de castroviejo: experiência em 38 pacientes e revisão da literatura

Abstract

BACKGROUND -Syringomas are benign adnexal tumors from intraepidermal eccrine ducts, treated by diverse surgical modalities with variable results. OBJECTIVES -1. To report our experience in surgical treatment of multiple periorbital syringomas excised by Castroviejo scissors followed by healing by secondary intention. 2. To present a literature review with emphasis on therapeutic aspects. MATERIAL AND METHOD -During 68 months we treated 38 cases of periorbital syringoma. All of them were submitted to surgical excision using Castroviejo scissors, followed by healing by secondary intention. Evaluation was done 7, 30 and 90 days after surgery. The mean follow-up period was 33 months, ranging from 3 to 62 months. RESULTS -The results were excellent in 24 patients (63.1%), good in 12 patients (31.6%) and regular in two patients (5.3%). The only immediate complication observed was edema; late complications were hypochromia (12 patients), depressed scar (one patient) and hypertrophic scar (one patient). Recurrences were not observed during the follow-up period. CONCLUSIONS -We concluded from our results that excision of periorbital syringomas by Castroviejo scissors followed by healing by secondary intention is a low cost, straightforward outpatient procedure.

Siringoma Eruptivo Em Associação Fortuita Com Hanseníase - A Importância Da Busca Ativa

“…O siringoma é um tumor intraepidérmico das glândulas sudoríparas écrinas que acomete 0,6% da população geral, podendo estar associado a doenças como diabetes mellitus e síndrome de Down 1,2 . Sua forma eruptiva é incomum, geralmente tem início abrupto na adolescência e caracteriza-se por múltiplas pápulas normocrômicas ou amareladas, podendo ou não apresentar prurido 3,4 .…”

“…São descritos como diagnósticos diferenciais: acne vulgar, hiperplasia sebácea, mília, líquen plano, xantoma eruptivo, urticária pigmentosa, xantelasma e tricoepitelioma 1,6,7 . Seu tratamento possui diversas opções (Tabela 1), sendo, em geral, insatisfatório 1,2,6,7 . Por tratar-se de entidade benigna, a indicação terapêutica é cosmiátrica.…”