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

• Main Author: Bagatin, Edileia [UNIFESP]
• Publication Date: 2006
• Other Authors: Enokiahara, Mauro Yoshiaki [UNIFESP], Souza, Patricia Karla De [UNIFESP]
• Format: Article
• Language: por
• Source: Repositório Institucional da UNIFESP
• Download full: http://dx.doi.org/10.1590/S0365-05962006000400006; http://repositorio.unifesp.br/handle/11600/3157
• topic: Adenoma; Eccrine glands; Eyelids; Skin neoplasms; Syringoma; Treatment outcome; Adenoma de glândula sudorípara; Glândulas écrinas; Neoplasias cutâneas; Pálpebras; Resultado de tratamento; Siringoma

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. Results are good, with no recurrences, although transient hypochromia may occur.