scholarly journals Case Report: Giant Epidermoid Cyst on the Neck with Hypopharyngeal Propulsion

2021 ◽  
Vol 7 (3) ◽  
pp. 131
Author(s):  
Yayan Akhyar ◽  
Sukri Rahman
Keyword(s):  
Epidermoid Cyst ◽  
Histopathological Examination ◽  
Cystic Mass ◽  
The Body ◽  
Complete Excision ◽  
Cyst Excision ◽  
Epidermoid Cysts ◽  
Stratified Squamous Epithelium ◽  
Age Range ◽  
Definitive Management

Introduction: Dermoid cyst is a cystic mass lined with stratified squamous epithelium with skin adnexal structure. Histopathologically dermoid cysts consist of 3 types, namely epidermoid cysts, true dermoid cysts and teratoid cysts. Epidermoid cysts are characterized by masses with a simple squamous epithelial lining. When the cyst ruptures, it releases a cheesy white matter that smells bad. Epidermoid cysts are most commonly found in the age range of 15 and 35 years with almost the same frequency between male and female sexes. Case description: We report a case of a 52-year-old man with a lump on the left side of the neck that has been slowly growing since 1 year and a computer tomography of the neck suspected a cyst in the anterior glottis. The patient was diagnosed as a neck cyst. Management was carried out by excision of the cyst under general anesthesia and histopathological examination with the results of an Epidermoid cyst. Conclusion: Epidermoid cysts can develop in any part of the body, but are very rare on the head and neck. Definitive management of epidermoid cysts with complete excision of the cyst gives satisfactory results Keywords: Giant Epidermoid Cyst, excision, hypopharyngeal propulsion

scholarly journals Limberg flap for reconstruction after excision of multiple conglomerate epidermoid cysts

2019 ◽  
Vol 8 (1) ◽  
pp. 371
Author(s):  
Nida Khan ◽  
Karna Chedda ◽  
Dipesh Goel ◽  
Rontgen Rajakumar ◽  
Pragati Singhal
Keyword(s):  
Surgical Treatment ◽  
Primary Closure ◽  
Left Thigh ◽  
The Body ◽  
Limberg Flap ◽  
Complete Excision ◽  
Cyst Excision ◽  
Epidermoid Cysts ◽  
Close Proximity

Epidermoid cysts are common, subepidermal, keratin containing nodules, found anywhere on the body in 3rd and 4th decade of life. Surgical treatment is by complete excision with wall of cyst intact. Author presents a 40-year-old male with multiple sebaceous cysts in close proximity to one another on his left thigh. Individual cyst excision would have lead to a difficult primary closure, need for multiple incisions, with contracture and poor cosmesis due to the close proximity of the cysts. instead, the cysts were excised in mass and limberg flap was used for reconstruction and primary closure. Patient was followed up for 6 months. The objective of this study was to prove that limberg flap yields superior cosmesis and healing by primary intention in reconstruction after excision of multiple epidermoid cysts.

scholarly journals Dorsal Spinal Intradural Intramedullary Epidermoid Cyst: A Rare Case Report and Review of Literature

2019 ◽  
Vol 10 (02) ◽  
pp. 352-354 ◽  
Author(s):  
Siddartha Reddy Musali ◽  
Imran Mohammed ◽  
Prakash Rao Gollapudi ◽  
Sai Kumar Maley
Keyword(s):  
Epidermoid Cyst ◽  
Histopathological Examination ◽  
Neurological Deficits ◽  
Benign Tumors ◽  
Dermal Sinus ◽  
Epidermoid Cysts ◽  
Rare Case Report ◽  
Intracranial Lesions ◽  
Intradural Extramedullary ◽  
Dorsal Spinal

ABSTRACTEpidermoid cysts are commonly seen intracranial lesions but their occurrence in the spine is rare. They account for <1% of all the benign tumors of the spine. These are benign epithelial-lined cysts filled with keratin. They are classified into two types: congenital or acquired. Congenital epidermoid cysts are more commonly associated with spinal dysraphic states such as syringomyelia, dermal sinus and spina bifida whereas the acquired cysts are associated with repeated lumbar punctures. Based on the location, they can be extradural, intradural, extramedullary, or intramedullary. Most of the epidermoids are intradural extramedullary. Intramedullary epidermoid cysts are very uncommon. We report a case of a 6-year-old female patient with dorsal epidermoid cyst with neurological deficits. Magnetic resonance imaging of the spine showed a well-defined lesion from D9 to D12 which was hypointense on T1W1 and heterogeneously hyperintense on T2W2. Surgery was performed to excise the lesion and to decompress the spinal cord. Histopathological examination of the excised lesion confirmed it as an epidermoid cyst.

Squamous Papilloma over Lid Margin: An Uncommon Presentation

2016 ◽  
Vol 1 (3) ◽  
pp. 128-130
Author(s):  
Pranav Gupta ◽  
Etti Goyal ◽  
A Dokania ◽  
Y Rizvi
Keyword(s):  
Histopathological Examination ◽  
Cosmetic Result ◽  
Complete Excision ◽  
Squamous Papilloma ◽  
Uncommon Presentation ◽  
Body Sensation ◽  
Stratified Squamous Epithelium ◽  
Upper Lid ◽  
Schiøtz Tonometry

ABSTRACT Papilloma is a histopathological term describing tumors of a classical finger-like or cauliflower morphology. Though benign, they carry profound malignancy potential and can present at numerous anatomical locations, such as skin, cervix, esophagus, respiratory tract, breast duct, etc. Papillomas over conjunctiva are not frequently encountered and carry special significance. A 60-year-old diabetic female presented with a left upper lid marginal sessile mass of 9 months duration with mild epiphora and foreign body sensation. On examination, a solitary, fleshy, sessile, polypoidal mass measuring 1 × 1 cm was seen, with irregular cauliflower-like surface present over lateral aspect of left upper lid, firm in consistency with raised edges. Visual acuity in right eye was 6/18→6/9 and left eye 6/36→6/9, intraocular pressure (IOP) was 14.6 mm Hg in both eyes by Schiotz tonometry. Complete excision of the lesion employing microsurgical technique with close apposition of lid margin using 6-0 Vicryl sutures was done under local anesthesia (LA). Histopathological examination revealed stratified squamous epithelium forming papillae with variable goblet cells supported by prominent branching fibrovascular cores in the center. A satisfactory cosmetic result was achieved. Follow-up of 6 months did not reveal any recurrence. A satisfactory functional and cosmetic result achieved. Squamous papillomas over lid margin are uncommon presentations. Even though benign they carry morbidity potential in the form of chronic epiphora, corneal erosions, and lid deformities if inadequately managed. How to cite this article Goyal E, Gupta P, Dokania A, Rizvi Y. Squamous Papilloma over Lid Margin: An Uncommon Presentation. Int J Adv Integ Med Sci 2016;1(3):128-130.

scholarly journals Pathogenesis of Attic Cholesteatomas

1978 ◽  
Vol 71 (10) ◽  
pp. 716-732 ◽  
Author(s):  
Jacob Sadé
Keyword(s):  
Epidermoid Cyst ◽  
Squamous Epithelium ◽  
Secondary Infection ◽  
Ossicular Chain ◽  
Similar Process ◽  
Epidermoid Cysts ◽  
Biological Phenomena ◽  
The Face ◽  
Stratified Squamous Epithelium ◽  
Temporal Bones

An attic cholesteatoma is defined as an epidermoid cyst found in the attic. Stratified squamous epithelium may also be present in the middle ear as other clinical or pathological entities, such as metaplastic islands of the mucosa in chronic ears with central perforations or as a collapse of an atelectatic drum. Histological examination of 22 temporal bones with attic cholesteatomas has shown them to reside mainly medial to the ossicular chain. This explains the difficulty they have in self-cleansing, as well as the ensuing secondary infection. When a similar process occurs lateral to the ossicles, a self-cleansing nature's atticotomy may be formed. The aetiology ofan attic epidermoid cyst, i.e. an attic cholesteatoma, is usually considered to be an invasive retraction from the external ear. However, it is difficult to accept invasion ofexternal canal skin into the upper medial attic (often through the scutum). This is especially so in the face ofsucb biological phenomena as epithelial contact inhibition, or the invariable outward migration of stratified squamous epithelium from the edges of retraction pockets as well as from cholesteatoma perforations. Also, large cholesteatomas usually present themselves from the ‘beginning’ simultaneously with their perforations; no documentation of an evolving process from a pre-existing perforation exists at present. Marginal perforations which have later cvolved into attic cholesteatomas have so far not been documented. Therefore, the possibility that an attic cholesteatoma often arises primarily in the attic and presents itself secondarily in the external canal as a ‘perforated’ epidermoid cyst, is to be considered. The possibility that a congenital rest is responsible for the epidermoid cyst has often been put forward, but evidence that such rests actually exist has not yet been presented. The frequency with which cholesteatoma sacs (including the congenital type) show mucosal cells as part of their lining, suggests a metaplastic phenomenon, This means that the epithelial cells in question may have changed from mucosal into keratinizing cells or vice versa. Metaplastic changes of mucosas into keratinizing epithelium occur very frequently in the bronchi, nose, ears and genitourinary system. Epidermoid cysts may, therefore, be seen as an analogous formation to glandular cysts in the attic - the latter being very frequently found in the attic in chronically infected ears. Such ‘organ’ formations (glands or epidermoid cysts) may arise when their respective cells (forming mucus or keratin) grow in the midst ofconnective tissue rather than on the surface. Budding of cells, giving rise to epidermoid cysts, is occasionally found in chronically-infected ears adjacent to cholesteatomas.

scholarly journals Intradural iatrogenic epidermoid cyst at cauda equina: A case report

2020 ◽  
Vol 11 ◽  
pp. 299
Author(s):  
Jose Javier Cuellar Hernandez ◽  
Miracle Anokwute ◽  
Silvia Judith Hernandez Martinez ◽  
Jose Ramon Olivas
Keyword(s):  
Epidermoid Cyst ◽  
Spinal Dysraphism ◽  
Cauda Equina ◽  
Lower Extremity Weakness ◽  
Epidermoid Cysts ◽  
History Of ◽  
Motor Strength ◽  
Stratified Squamous Epithelium ◽  
The Right ◽  
Spinal Epidural

Background: Spinal epidermoid accounts for <1% of all primary spinal cord tumors. They occur due to the invagination of epidermal elements into the neural tube during the embryonic period. Even more infrequent are spinal epidermoid cysts that occur without attendant spinal dysraphism (e.g., as occurs with the iatrogenic inoculation of epithelial cells in the subarachnoid space following a lumbar puncture). Case Description: A 38-year-old female with a history of epidural spinal blocks at L2-3 for two previous pregnancies presented with low back pain, right lower extremity weakness (4/5 level), hyporeflexia, and tingling/ numbness in the right L3-5 distribution. The lumbar MR demonstrated an intradural extramedullary lesion at the L2-L3 level that compressed the cauda equina/nerve roots. MR findings were compatible with an epidermoid cyst, this was histologically confirmed following a microsurgical L2-3 laminectomy for lesion resection. Pathologically, the lesion demonstrated a keratinized stratified squamous epithelium with keratin content without cutaneous attachments, thus confirming the diagnosis of an epidermoid cyst. Postoperatively, her sensory complains improved and her motor strength fully recovered to the 5/5 level. Conclusion: Patients with spinal epidermoid cysts typically present with underlying spinal dysraphism, but only rarely do iatrogenic cases arise. Here, we presented a patient who developed a spinal lumbar epidermoid cyst in a female patient after undergoing spinal epidural anesthesia during pregnancy. Notably, this was successfully treated a with decompressive laminectomy and microsurgical resection.

scholarly journals Pediatric skull bone defect due to epidermoid cyst

2021 ◽  
Vol 40 (1) ◽  
pp. 52
Author(s):  
Robert Sinurat ◽  
Fajar Lamhot Gultom
Keyword(s):  
Epidermoid Cyst ◽  
Pediatric Patients ◽  
Bone Destruction ◽  
Neck Region ◽  
Hair Follicles ◽  
Benign Tumors ◽  
Anterior Fontanel ◽  
Complete Excision ◽  
Epidermoid Cysts ◽  
One Year

Background<br />Tumors of the skull usually affect adult patients and less than twenty percent of pediatric patients. As the tumors grow, the surrounding bone may undergo destruction and erosion. When the tumors are located in the fontanel, the timely closure of the fontanel may be inhibited. Epidermoid cysts are benign tumors that are intracranially located and very rarely in the midline of the cranium. Meanwhile about 32% of stratified-squamous epithelial epidermoid cysts affect the head and neck region and only 6.7% occur in the scalp. We report an unusual epidermoid cyst located and growing in the anterior fontanel of a pediatric patient and inhibiting fontanel closure.<br /><br />Case Description <br />A 21-month-old boy and his parents visited our polyclinic because there was a lump on his anterior fontanel since four months before they came to the hospital. The lump was initially the size of a peanut and had grown to become as large as a quail’s egg. The physical examination was normal and the brain CT-scan showed bone destruction without any intracranial lesion. The tumor was excised on the preoperative diagnosis of dermoid cyst. Histopathology examination showed the characteristics of an epidermoid cyst. The cyst had a wall and was full of keratin flakes without hair follicles or sebaceous glands. Follow-up one year after complete excision did not reveal any recurrence. <br /><br />Conclusion<br />Epidermoid cysts in the skull of pediatric patients must be completely excised as soon as possible because their growth can damage the bone and inhibit the closure of the sutures.

scholarly journals Scrotal and penile epidermoid cysts

2016 ◽  
Vol 97 (3) ◽  
pp. 405-409 ◽  
Author(s):  
A V Prokhorov
Keyword(s):  
Surgical Treatment ◽  
Epidermoid Cyst ◽  
Sun Exposure ◽  
Traumatic Rupture ◽  
Epidermoid Cysts ◽  
Melanoma In Situ ◽  
Papillomavirus Infection ◽  
Cystic Tumors ◽  
Scrotal Hematoma ◽  
Age Range

In the present literature review, modern view on etiology, pathogenesis, clinical course, diagnosis, treatment and prognosis of scrotal and penile epidermoid cysts is described. Such cysts are rare, refer to benign cystic tumors with slow growth and low malignant potential. Epidermoid cysts develop in different races representatives, mostly in the age range of 30-40 years. Causes of epidermoid cysts remain unclear. Their relationship with different chromosomal aberrations, vulgar acne, post-pubertal age hyperandrogenism, human papillomavirus infection, excessive sun exposure, external genital organs injury are discussed. Epidermoid cysts histogenesis is not completely understood. Preference is given to disembriogenetic theory of the cysts origin. Epidermoid cysts have a characteristic clinical and ultrasound picture, and in the absence of complications have latent and favorable course. Epidermoid cysts diagnosis usually is not difficult and based on cysts characteristic visual picture. In controversial cases, epidermoid cysts must be differentiated from the inguinal-scrotal hernia, lipoma, hematoma, primary malignant or metastatic tumors of the genital organs. In these cases, high resolution ultrasound examination and high-field magnetic resonance imaging are used. Epidermoid cysts complications occur rare. Among them, cases of cysts traumatic rupture with the scrotal hematoma and infection development are the most frequent. Isolated cases of epidermoid cysts blastomatous transformation in various types of skin cancer, T-cell lymphoma, carcinoid tumor, melanoma in situ are described. As the treatment of epidermoid cysts active follow-up in uncomplicated cysts, medication and surgical treatment are offered. Medication treatment is used for inflamed cysts. Surgical treatment is absolutely indicated for abscess formation and suspected malignancy in epidermoid cyst. The prognosis for epidermoid cysts surgical treatment is generally favorable. Cases of epidermoid cyst recurrence in case of their total excision were not observed.

scholarly journals Dermal fibroma in olive barb Systomus sarana (Hamilton, 1822): a case study

2017 ◽  
Vol 64 (1) ◽  
pp. 95 ◽  
Author(s):  
M. K. Sahoo ◽  
P. Rajesh Kumar ◽  
S. Pattanayak ◽  
P. C. Das ◽  
P. K. Sahoo
Keyword(s):  
Squamous Epithelium ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
The Body ◽  
Lateral Side ◽  
Fibrous Stroma ◽  
Non Invasive ◽  
Stratified Squamous Epithelium

Systomus sarana (Hamilton, 1822) (weight; 370 g; length: 29.0 cm ) obtained from a carp polyculture pond revealed presence of a solid nodular tumorous mass on right dorso-lateral side of the body. Surgical excision and further histopathological examination of the focal non-invasive mass revealed that the tumor is a fibroma covered by thick stratified squamous epithelium. The fibroma had a compact fibrous stroma organised in whorls and bundles.

scholarly journals Malignant Transformation Six Months after Removal of Intracranial Epidermoid Cyst: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Fayçal Lakhdar ◽  
El Mehdi Hakkou ◽  
Rachid Gana ◽  
Rachid My Maaqili ◽  
Fouad Bellakhdar
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Malignant Transformation ◽  
Squamous Cell ◽  
Epidermoid Cyst ◽  
Cerebellopontine Angle ◽  
Histopathological Examination ◽  
Benign Tumors ◽  
Epidermoid Cysts ◽  
Intracranial Epidermoid

Intracranial epidermoid cysts are uncommon benign tumors of developmental origin; malignant transformation of benign epidermoid cysts is rare, and their prognosis remains poor. We report a case of squamous cell carcinoma arising in the cerebellopontine angle. A 52-year-old man presented with left facial paralysis and cerebellar ataxia. He had undergone total removal of a benign epidermoid cyst six months previously. Postoperative magnetic resonance imaging of the brain revealed a heterogeneous and cystic lesion in the left cerebellopontine angle with hydrocephalus. The cyst wall was enhanced by gadolinium. He underwent ventricle-peritoneal shunt and removal again; the histopathological examination revealed a squamous cell carcinoma possibly arising from an underlying epidermoid cyst. This entity is being reported for its rarity. The presence of contrast enhancement at the site of an epidermoid cyst combined with an acute, progressive neurological deficit should alert the neurosurgeon to the possibility of a malignant transformation.

scholarly journals A rare presentation of small diaphragmatic epidermoid cyst with extremely elevated serum CA19-9 level

2020 ◽  
Vol 102 (2) ◽  
pp. e23-e25
Author(s):  
M El-Khoury ◽  
A Bohlok ◽  
YA Sleiman ◽  
P Loi ◽  
E Coppens ◽  
...  
Keyword(s):  
Epidermoid Cyst ◽  
Elevated Serum ◽  
Surgical Excision ◽  
Definitive Diagnosis ◽  
The Body ◽  
Intraluminal Pressure ◽  
En Bloc ◽  
Rare Presentation ◽  
Epidermoid Cysts ◽  
Complete Surgical Excision

Epidermoid cysts are rare lesions that can occur anywhere in the body. They are associated with elevated serum levels of CA 19-9. The spleen represents the most common site of intra-abdominal localisation. Only two cases of diaphragmatic epidermoid cyst are reported in the literature. We present the case of a 61-year-old woman with a small suprasplenic subdiaphragmatic cyst discovered during the investigation of left flank pain. The establishment of an adequate diagnosis was challenging due to the difficulty in specifying the exact localisation of the cyst, the extremely elevated CA 19-9 level of 19,000 and the high uptake on 18-fluoro-2-deoxy-D-glucose positron emission tomography. The definitive diagnosis followed complete surgical excision. Intra-abdominal epidermoid cysts are usually discovered incidentally on imaging for another reason. The cyst is lined by squamous epithelium responsible for the secretion of CA 19-9. The elevation of serum CA 19-9 is due to small rupture or increased intraluminal pressure followed by diffusion to the bloodstream. Surgery with en-bloc resection represents the optimal treatment to avoid any risk of recurrence. The definitive diagnosis is established by demonstrating positive immunohistopathological staining of epithelial cell to CA 19.9.

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