Ann Dermatol.  2010 Aug;22(3):367-369. 10.5021/ad.2010.22.3.367.

Syringomas Treated by Intralesional Insulated Needles without Epidermal Damage

• Hong SK
• Lee HJ
• Cho SH
• Seo JK
• Lee D
• Sung HS

• KMID: 2265379
• DOI: http://doi.org/10.5021/ad.2010.22.3.367

Abstract

Syringoma is a benign adnexal tumor derived from intradermal eccrine ducts; it predominantly occurs in women at puberty or later in life. Although syringoma is a common benign neoplasm, there have been no effective therapies for its removal. Conventional therapies for syringomas, including surgical excision, electrodessication, chemical peeling, topical atropine or tretinoin, cryosurgery, and laser therapy, can lead to cosmetic defects such as hyperpigmentation or scarring due to epidermal damage. In contrast, treatment using intralesional insulated needles, which are insulated at the point of epidermal contact, has been shown to result in good cosmetic outcomes due to selective destruction of dermal lesions. This could be an effective and highly satisfying treatment for syringomas. We herein present 2 patients with syringomas treated with intralesional insulated needles.

Keyword

Insulated needle; Syringoma

MeSH Terms

Atropine
Cicatrix
Cosmetics
Cryosurgery
Female
Humans
Hyperpigmentation
Laser Therapy
Needles
Puberty
Syringoma
Tretinoin
Atropine
Cosmetics
Tretinoin

Figure

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  Fig. 1 (A) A 54-year-old woman had skin-colored or yellowish tiny papules on her periorbital areas and forehead. (B) After 8 sessions of treatment, there was a marked reduction in the size and number of lesions without adverse effects.

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  Fig. 2 (A) A 27-year-old woman had skin-colored or yellowish tiny papules on her periorbital areas. (B) The treatment showed good efficacy without adverse effects after 3 sessions.

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  Fig. 3 K-type needles that can selectively destroy intradermal target lesions without scarring due to insulation of epidermal point of contact.

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