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CASE REPORT : Two Cases of Unilateral Lichen Planus Following the Lines of Blaschko
( Derya Yayla ),( Seray Kulcu Cakmak ),( Isıl Deniz Oguz ),( Muzeyyen Gonul ),( Esra Ozhamam ),( Aysel Colak ),( Ulker Gul ) 대한피부과학회 2014 Annals of Dermatology Vol.26 No.5
A 50-year-old man and 71-year-old woman presented to ourclinic with unilateral, linear, erythematous, pruritic lesions along the lines of Blaschko. On the basis of clinical andhistopathological findings, the lesions were diagnosed as lichen planus with a Blaschkoian distribution, which is a rare form of lichen planus. The patients were treated with topical corticosteroids and antihistamines. (Ann Dermatol 26(5) 636 ∼638, 2014)
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Aysegul Oz,Figen Basaran Demirkazik,Meltem Gulsun Akpinar,Isıl Soygur,Atac Baykal,Sevgen Celik Onder,Aysegul Uner 한국유방암학회 2012 Journal of breast cancer Vol.15 No.2
Purpose: We performed this study to detect preoperative axillary metastases with ultrasound (US)-guided fine needle aspiration biopsy (FNAB), to eliminate the need for time-consuming and costly sentinel lymph node (SLN) scintigraphy and biopsy steps in the treatment of breast cancer patients, and in that of with suspicious US findings, and to evaluate the accuracy of preoperative US-guided FNAB for patients with suspicious lymph node metastases on US. Methods: Patients with a suspicious breast lump or histopathologically proven breast cancer underwent breast-axillary US. Increase in lymph node size, cortical thickening, non-hilar cortical flow, and hilar changes were evaluated with gray scale-color Doppler US. FNAB was performed if US results were suspicious for malignancy. Results: Thirty-eight axillary lymph nodes (ALN) underwent FNAB. ALN dissection, SLN scintigraphy, and biopsy steps were bypassed in 23 axillas with positive ALN FNAB (60.5%). The sensitivity of ALN FNAB was 88.46%; specificity and positive predictive value were 100%; and negative predictive value was 66.6% (inadequate cytology included; 76.7%, 100%, 100%, 53.3%, respectively). Asymmetrical cortical thickening, non-hilar cortical flow, and increase in hypoechogenity were only detected in metastatic nodes. Cortical thickening, and lymph node and breast mass size was higher in the metastatic group. Conclusion: By performing FNAB on suspicious lymph nodes, the routine, high-cost SLN scintigraphy and intraoperative gamma probe steps may be skipped, and axilla dissection can be performed directly. This leads to the elimination of the need for SLN investigation in more than half of the patients. The assessment of ALN metastases with preoperative US-guided FNAB is a cost-effective method with high specificity, that eliminates the need for costly and time-consuming SLN scintigraphy and biopsy steps, and helps in preoperative staging.
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