Nevus Lipomatous cutaneous superficialis (Hoffman-Zurhelle) is distinct clinical entity. A case is reported in which the lesions appeared in childhood and were elevated plaques and nodules in distribution on the tight side of the buttock.
Buttocks ; Nevus*

No abstract available.
Buttocks* ; Humans

Trichoadenoma is a rare benign tumor and it appears as a solitary tumor on the face and buttock. Histologically, it is characterized by numerous horny cysts lined with stratified squamous epithelium and solid epithelial tumor nests. This tumor is less mature than trichofolliculoma and more differentiated than trichoepithelioma, and it is considered as a tumor with differentiation toward the infundibular portion of the pilosebaceous canal. A 39-year-old woman presented with asymptomatic, solitary, 1.5x1.5 cm sized, pedunculated mass on her buttock for 2 years. Histopathologic examination showed characteristic features of trichoadenoma. Trichoadenoma is so rare that only 3 cases have been reported in the Korean literature.
Adult ; Buttocks ; Epithelium ; Female ; Humans

We report here on a case of the giant and hyperkeratotic variant of porokeratosis. A 51-year-old man presented with a 30x20 cm sized extremely hyperkeratotic brownish verrucous plaque on his buttock. Histologic examination showed an increased number and size of the cornoid lamella, which displayed packed parakeratotic cells and the partial loss of the underlying granular layer. We diagnosed the patient with the giant and hyperkeratotic variant of porokeratosis on the basis of the clinical features and the characteristic histologic findings. Giant porokeratosis is a rare clinical condition among the several subtypes of porokeratosis, and the hyperkeratotic variant is an extremely rare clinical condition.
Buttocks ; Humans ; Middle Aged ; Porokeratosis

PURPOSE: The objective of this study was to evaluate the findings of ultrasonography (US) in patients withis-chial bursitis. MATERIALS AND METHODS: Our study included 27 patients (mean age 62 years) who underwent US fora painful mass or tenderness in the buttock area. In six of these 27, serous fluid was obtained by needleaspiration, and in five cases, bursal excision permitted histologic confirmation. The other sixteen patients werefollowed up for one or two months with only NSAID medication; all showed some improvement or remission of symptoms. Using a 5-10 MHz linear array probe, US examination was performed while the patient was lying facedown. US images were analyzed with regard to location and size of the lesions, thickness of cyst wall, thepres-ence of internal septa or mural nodules, echogenicity of the cyst wall, fluid content, internal septa,compressibility by a probe, and Doppler signals within the cyst wall. RESULTS: In all 27 patients, ischialbursitis was located superficially to ischial tuberosity. Lesion size(maximum diameter) was 1.5-7(mean 3.8)cm, andthe cyst wall was 0.2-0.8cm thick. Internal septa and mural nodules were seen in 12 cases (44%) and 13 cases(48%), respectively. The cyst wall was identifiable in 21 cases (78%), appearing as a single layer with lowechogenicity (n=10) or with high echogenicity (n=1); it also appeared as two (n=6) or three (n=4) layers ofdifferent echogenicities. When internal septa were present, fluid within the cyst was low echoic in 59% of cases,high echoic in 30%, and of mixed echogenicity (so-called compartmentalization) in 15%. In all cases, the cystbecame deformed, when compressed by a probe. In all patients who underwent doppler examination, some vascularitywas found within the cyst wall. CONCLUSION: US helped to detect ischial bursitis; US findings were thin-walled cystic lesion located superficially to ischial tuberosity, with or without internal septa and mural nodules, andeasy compressibility.
Bursitis* ; Buttocks ; Deception ; Humans ; Ultrasonography

Sclerosing epithelioid fibrosarcoma (SEF) is a rare and poorly recognized variant of fibrosarcoma of deep soft tissue. We report the case of a 34-year-old woman who presented with a painful and palpable mass in the left buttock that was diagnosed as SEF.
Adult ; Buttocks ; Female ; Fibrosarcoma ; Humans

No abstract available.
Anal Canal ; Buttocks ; Mucins ; Nevus

PURPOSE: The buttocks region has been associated with allure and sex appeal for centuries. Gluteal implants enable buttocks remodeling in a way that is not possible in other methods. One of the reasons that render gluteal implant surgeries unpopular is the fear of complications, the main problems being seroma, wound dehiscence, extrusion, and a visible or palpable implant. The authors present the XYZ technique, which provides anatomical reference points to guide the intramuscular dissection procedure in a feasible and safe way, resulting in a lower complication rate. METHODS: The XYZ procedure was done for buttock augmentation on 8 patients from December 2009 to June 2010. Patient's ages ranged from 27 to 44 with a mean age of 36. Seven patients were applied the 250cc sized Elastomer implants with one patient 290cc sized implant. Preoperative marking was done with the patients in the standing position. Bisection of the gluteus maximus muscle was done at the midpoint thickness to create a plane for implant insertion, which is called the sandwich plane. RESULTS: The 8 cases were performed safely without major complications. However one patient had minor wound dehiscence, and was managed with conservative treatment. Another patient had a discomfort on the buttocks for a long time. The patients were followed up for average 6 months. All patients were satisfied with the aesthetic results. CONCLUSION: In performing the XYZ technique for gluteal augmentation, the surgeon must split the muscle into two equal halves with anatomical reference points to guide the muscle detachment in a symmetrical way at an adequate depth. This method provides a guideline for the surgeon in determining the ideal plane during intramuscular dissection and gives predictable results with low complication rates. Intramuscular gluteoplasty with gluteal implants offers predictable, aesthetically pleasing results without contour irregularities and only a low incidence of major complications.
Buttocks ; Elastomers ; Humans ; Incidence ; Muscles ; Seroma

A case of multiple trichilemmal cysts (TC) is presented. TC is known to be a kind of keratinous cyst with lining cells showing trichilemmal keratinization. About 90% of TC occur on the scalp. They are multiple in 70%, however, only 10% of the patients have been reported to have more than ten cysts. Therefore multiple TC on any other sites than scalp seem to be rare. A 37-year-old man presented with a twenty year duration of twelve nodular lesions on the back, chest, buttock, thigh, neck and scalp. All lesions were completely excised and microscopically examined, and showed histopathology compatible with TC.
Adult ; Buttocks ; Humans ; Neck ; Scalp ; Thigh ; Thorax

Nevus lipomatosus superficialis presented as soft, yellowish papules or cerebriform plaques occurring usually on the buttock or thigh, less often on the ear or scalp. We herein report a case of nevus lipomatosus superficialis on the leg.
Buttocks ; Ear ; Leg* ; Nevus* ; Scalp ; Thigh