Treatment of Steatocystoma Multiplex on Whole Body: A Case Report.

Jang, Pal Young; Shin, Sang Ho; Lee, Kyung Suk; Kim, Nam Gyun; Kim, Jun Sik

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(3):325-328.
Published online May 1, 2008.

Treatment of Steatocystoma Multiplex on Whole Body: A Case Report.

Pal Young Jang, Sang Ho Shin, Kyung Suk Lee, Nam Gyun Kim, Jun Sik Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Gyeongsang National University, Gyeongnam, Korea. pellow@hanmail.net

Abstract

PURPOSE
Steatocystoma multiplex is a rare benign disease that occurred multiply on whole body surface. Many physicians have tried managing steatocystoma in variable methods. However it is hard to define the optimal way to cure steatocystoma. We performed both aspiration and excisional method to study the usefulness of both methods. METHODS: A 28-year-old woman has asymptomatic multiple subcutaneous nodules on whole body. Most lesions were aspirated with 26-guage needled 3cc syringe but large and purulent three nodules were excised.
RESULTS
We diagnosed the lesion histologically as steatocystoma multiplex. Aspirated wound healed without scar, excised wound remained scar but esthetically acceptable. Axillary lesion contained so clustered type cysts that was difficult to aspirate whole cyst. Thus additional excisional method was needed.
CONCLUSION
There are many practical methods to cure steatocystoma. However, there is no appropriate method to cure it. Therefore we should select different therapeutic method according to anatomical location and cyst size. Especially at subcutaneous fat-rich lesion like axilla and abdomen, it is better to excise the clustered cyst than to aspirate.

Keywords: Steatocystoma multiplex; Whole body