1,720,964 research outputs found
Trattamento delle malformazioni capillari in un paziente affetto da sindrome di Klippel-Trenauny con Dye-Laser e Laser Neodymium:Yag.
No full textBilateral Intra-Areolar Polythelia: Report of a Rare Case
No full textA very rare case of bilateral intra-areolar polythelia with two nipples in each breast is presented. There were no other associated malformations and the patient's family history was normal. Surgical correction was performed for cosmetic reasons at the patient's request using transposition flaps in a Z-plasty design. The aesthetic and functional results were satisfactory
Paget extramammario: un caso clinico di Paget vulvare
Full text linkIl Paget extrammammario è una patologia rara che generalmente colpisce la popolazione in età senile. Si può localizzare prevalentemente al livello della cute in regione ascellare, perineale e perianale, vulvare nelle donne e peniena nell’uomo. Istologicamente è una neoplasia intraepiteliale, caratterizzata dalla presenza delle cellule di Paget come la sua controparte mammaria, che è spesso associata a carcinoma duttale invasivo sottostante ed è generalmente considerata d’origine ghiandolare (ghiandola mammaria sottostante) e/o duttale. Il Paget extramammario, invece, è associato ad un carcinoma invasivo sottostante solo nel 25% dei casi e la sua patogenesi è controversa. Le pazienti con morbo di Paget vulvare sono a rischio per una seconda neoplasia sincrona o metacrona: l’adenocarcinoma del colon-retto, in particolare per localizzazione perianale, il carcinoma della cervice uterina, dell’utero, dell’ovaio, della vagina, dell'epitelio transizionale dalla pelvi renale all'uretra ed il carcinoma mammario. Il morbo di Paget vulvare rappresenta un’entità clinica ben definita e la più frequente fra le forme extramammarie, costituendo circa l’1% di tutte le neoplasie vulvari. La diagnosi si basa sulla presenza delle cellule di Paget nel contesto dell’epitelio, facilmente identificate all'esame istologico. La terapia della VPD prevede un’ampia escissione locale con una profondità di resezione tale da interessare tutti gli annessi cutanei. Nei casi in cui sia istologicamente dimostrata l'associazione con un adenocarcinoma sottostante invasivo o sia presente invasione stromale, occorre integrare l'approccio chirurgico vulvare alla linfoadenectomia inguino-femorale. Descriviamo il trattamento chirurgico di una paziente affetta da Paget vulvare, soffermandoci sul management clinico e i risultati ottenuti
The Megasession Technique for Excision of Multiple Neurofibromas
No full textNeurofibromatosis I (NF1), or von Recklinghausen disease, is seen in approximately one in 2,600 to one in 3,000 live births, without preference for race or sex.1 NF causes cosmetic disfigurement. Four types of neurofibromatous lesions exist: cutaneous, subcutaneous, nodular plexiform, and diffuse plexiform. Cutaneous neurofibromas are the most common type; they can vary in number from just a few to several thousand, with the highest density occurring over the trunk. The cutaneous and subcutaneous types are both benign, but a slightly greater risk of malignant transformation exists. Nodular and diffuse plexiform neurofibromas may involve multiple tissues, including skin, fascia, muscle, bone, and internal organs. Patients with multiple cutaneous lesions often feel unattractive and depressed and thus require surgery. Multiple stages are necessary to excise numerous lesions. We reviewed 15 patients with multiple cutaneous neurofibromas treated using a new application for excision of multiple neurofibromasFmegasessionF which consists of a single surgical stage, causes minimal stress for patients, and has good cosmetic resul
An uncommon association between skin lesions and LEOPARD Syndrome affected an old patient. Case report
No full textLEOPARD syndrome (LS) is a rare inherited autosomal dominant disease with high penetrance and markedly variable expression characterized by a spectrum of somatic abnormalities. In 1971, Gorlin proposed the well-known acronym LEOPARD (lentigines, electrocardiographic abnormalities, ocular hypertelorism, pulmonary stenosis, abnormalities of the genitalia, retardation of growth, deafness). The nature and clinical importance of cardiovascular phenotypes associated with LS remain uncertain, because few patients with the disease have undergone comprehensive cardiac evaluations. To date, 200 cases have been described and one review has been published. We emphasize that this case is exceptional insofar as life expectancy was longer than other LEOPARD syndrome cases described in previous reports; these have had an early mortality due to cardiopathies. The aim of our study is to report a rare case of a patient affected with LEOPARD syndrome, survived until 67 years with cutaneous associations never described in literature
Surgical and Laser Treatment of Sturge-Weber Syndrome
No full textSturge-Weber syndrome (also called encephalofacial or encephalotrigeminal angiomatosis) is a rare neurocutaneous syndrome characterized by facial port-wine stains in the trigeminal nerve distribution area. An innovative treatment based on surgical and laser techniques of a patient affected with Sturge-Weber syndrome is reported. The aesthetic and functional results were satisfactory
Nd:YAG Laser-Assisted Liposuction for an HIV patient
No full textActive antiretroviral therapy has reduced the mortality of patients with acquired immune deficiency syndrome (AIDS) and increased both the quality of life and the longevity of patients infected with human immunodeficiency virus (HIV). The long-term effects of HIV infection are increasingly observed, particularly changes in fat distribution or "lipodystrophy." Strategies to prevent, mitigate, or reverse HIV-associated lipodystrophy have been difficult to develop. The medical management of fat redistribution usually is ineffective, and surgical approaches to HIV-associated lipodystrophy have already been described, but major drawbacks include recurrence of the fat accumulation. This report aims to describe the clinical outcomes for a man with buffalo hump who underwent lipolaser-assisted liposuction. This technique obtained a significant reduction in the size of the adiposity and an improvement in the neck's range of motion. At this writing, after 3 years, the patient is satisfied with his cosmetic and functional results. The authors believe that lipolaser-assisted liposuction using the Smartlipo Deka-Mela neodymium:yttrium-aluminum-garnet (Nd:YAG) 1,064-mm-long pulse is effective in reducing the cervicodorsal fat pad. The technique is performed using local anesthesia with low operative risks and minimal surgical trauma. The treated zone shows rapid healing, and the whole procedure requires a day-hospital recovery, thus reducing the costs
[Treatment of a wide cutaneous post-traumatic loss of substance by cell cultures. Case report]
No full textBioengineering skin represents a successful outcome in the interdisciplinary research applied to reconstructive surgery. In this study we report our experience in the reconstruction of a wide traumatic wound by autologous engineered skin, grown on a biomaterial scaffold. Advantages were rapid reparation of the trauma and good scars
[Treatment of a wide cutaneous post-traumatic loss of substance by cell cultures. Case report]
No full textBioengineering skin represents a successful outcome in the interdisciplinary research applied to reconstructive surgery. In this study we report our experience in the reconstruction of a wide traumatic wound by autologous engineered skin, grown on a biomaterial scaffold. Advantages were rapid reparation of the trauma and good scars
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