07/21/2010
Multiple facial skin tags.
California Hospital Medical Center
3-month-old boy with multiple facial skin tags.
Procedure: resection.
Micro: Sections show polypoid skin tissue with cutaneous hair follicles, sebaceous glands, eccrine glands, and central cartilage. H&E stain.
Diagnosis:
Accessory auricles (accessory tragi, supernumerary ear or polyotia).
DDx:
Arch Otolaryngol Head Neck Surg. 1990 Oct;116(10):1194-6.
A survey of accessory auricle anomaly. Pedigree analysis of seven cases.
Gao JZ, Chen YM, Gao YP.
Department of Ear, Nose, and Throat, Ningxia College of Medicine, Yinchuan, People's Republic of China.
[Abstract]
We performed an investigation of 50 accessory auricles on subjects encountered during 1983 through 1985. Fifteen of the families were found to have the same accessory auricular deformity among the probands' family members. From these 15 families, we selected seven pedigrees that were not accompanied by auricular deformities who had filial generations for analysis. Pedigrees 1 through 6 showed autosomal dominant inheritance; two also had irregular dominant properties (pedigrees 4 and 7), and one (pedigree 7) could not be excluded from the possibility of having an X-linked recessive inheritance. During the investigation, there were latent accessory auricles in which the cartilages were seen to be subcutaneous only or protruding slightly. Genetically, the pathogenesis of an accessory auricle should be related to the accessory auricular gene.
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Gross: The specimen is consists of multiple pink-tan, firm, irregular tissue fragments, measuring 0.1 to 0.4 cm. in greatest dimension.
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