title: The treatment dilemma caused by lumps in surfers' chins.
abstract: This is an account of 2 male surfing enthusiasts who recently sought care at our hospital after developing tumorous masses on their chins. Although the lesions appeared grossly benign, establishing a definitive treatment plan was perplexing because of the insidious nature of the protuberances. The lesion in the first patient was managed surgically. The approach was modified for the second patient because of information learned from the first. While the technical aspects of care management were simple, once the histologic structure of the tumor was defined, establishing an accurate clinical diagnosis before surgery was troublesome. The histologic findings for the lesion removed from the first patient consisted of primarily parenchymal fibrosis without concomitant structural abnormalities in overlying epidermis, suggesting that repetitive blunt trauma to the chin area while paddling the surfboard was probably the factor responsible for the pathogenesis of tumor formation. These findings and our experience in managing the 2 patients have formed the basis of this report.
authors: Department of Plastic and Reconstructive Surgery, Nihon University, Itabashi-ku, Tokyo, Japan. jfuji@med.nihon-u.ac.jp
authors: Jun
authors: J
authors: Fujimura
authors: Kenji
authors: K
authors: Sasaki
authors: Tsukasa
authors: T
authors: Isago
authors: Yasukimi
authors: Y
authors: Suzuki
authors: Nobuo
authors: N
authors: Isono
authors: Masaki
authors: M
authors: Takeuchi
authors: Motohiro
authors: M
authors: Nozaki
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D001265:Athletic Injuries / Q000150:complications*; D002680:Chin; D020405:Dermis / Q000473:pathology; D003937:Diagnosis, Differential; D005153:Facial Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005350:Fibroma / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005355:Fibrosis; D006801:Humans; D007899:Leisure Activities; D008297:Male; D011312:Pressure; D012983:Soft Tissue Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D014221:Triamcinolone / Q000627:therapeutic use*
chemical_list: D000893:Anti-Inflammatory Agents; D014221:Triamcinolone