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Syringocystoma. Presented by Dr. Max J. Wolff.
Mrs. V. N., a 30 year old white woman, has noticed gradually increasing numbers of lesions since the age of 14. She now shows numerous reddish yellow, pinhead-sized to match head—sized, roundish, dome-shaped or flat, soft nodules distributed symmetrically in the clavicular, suprasternal and sternal regions, with fewer lesions on the lower part of the chest, front of the neck and lower eyelids.Histologic examination of one of the nodules showed normal epidermis with the basement membrane intact. In the corium were numerous round, oval or irregularly shaped spaces, some containing colloid material, which were lined with two or more layers of epithelium. Epithelial bands extended from some of the cysts.
Dr. H. C. Lindsay: I agree with the diagnosis.Dr. Irving Bancroft: What treatment is going to be pursued?Dr. M. J. Wolff: This patient is not particularly interested in treatment.