Sebaceous Cyst/Epidermoid Cyst/ Wen/Dermoid Cyst

Abstract Aim “For pre operative optimization and educational purposes, rare possibilities should be included in the differential diagnosis”” Material and Methods “CASE REPORT. Inguinal hernia is one of the common operations done by surgeons, often diagnosed clinically. Here we present a case of 29 year old male patient presented with inguinal swelling for 3 years. He was admitted for the surgical ward as a case of incarcerated inguinal hernia for elective repair under GA. Intra op the mass was not consistent with inguinal hernia, two other possibilities were a concern that can cause the swelling; 1) testes, which was excluded by examining the scrotum, 2) Dermoid/Epidermoid cyst which was checked by the mass content of hair and pasty fluid” Results “DERMOID CYST” Conclusions “Most surgeons depend on clinical picture in diagnosing inguinal hernia, thus even other rare possibilities should be included in the differential diagnosis. Unusual presentations of inguinal hernia should be having radiological evaluated.”

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Pediatric congenital buttock sinus tract:10-year experience in a single institution

BMC Pediatrics ◽

10.1186/s12887-019-1806-y ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Kai Wang ◽

Chunhui Peng ◽

Wenbo Pang ◽

Dayong Wang ◽

Tingchong Zhang ◽

...

Keyword(s):

Dermoid Cyst ◽

Epidermoid Cyst ◽

Treatment Time ◽

Recurrent Infection ◽

Sinus Tract ◽

Fistula Tract ◽

Categorical Variables ◽

Continuous Variables ◽

Retrorectal Space ◽

First Onset

Abstract Purpose To review our experience with pediatric congenital buttock sinus tract, and to conclude the clinical characteristics and management of the disease. Methods Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Continuous variables were presented by median and range. Categorical variables were presented as frequencies and percentages. Results Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). The median first onset age was 42 months, and the range was 5 months to 12 years old. Admission age was 69.5 months, with a range from 14 months to 12 years old. Overall prior treatment time was 11 months, ranging from 3 months to 11 years. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.5 months (range, 2 months to 8 years), 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst.

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Intramedullary inclusion cysts of the cervicothoracic junction

Journal of Neurosurgery Spine ◽

10.3171/spi-07/08/236 ◽

2007 ◽

Vol 7 (2) ◽

pp. 236-242 ◽

Cited By ~ 22

Author(s):

Alfred T. Ogden ◽

Alexander G. Khandji ◽

Paul C. McCormick ◽

Michael G. Kaiser

Keyword(s):

Spinal Cord ◽

Case Report ◽

Surgical Treatment ◽

Dermoid Cyst ◽

Clinical Features ◽

Epidermoid Cyst ◽

Relevant Literature ◽

Literature Discussion ◽

Cervicothoracic Junction

✓Intramedullary inclusion cysts are extremely rare within the rostral spinal cord. In this case report the authors outline the clinical features and surgical treatment of one dermoid cyst and one epidermoid cyst of the cervicothoracic junction. The authors also include a relevant literature discussion regarding the treatment and the embryological origin of these lesions.

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Giant epidermoid cyst over the male breast

Clinics and Practice ◽

10.4081/cp.2011.e2 ◽

2011 ◽

Vol 1 (1) ◽

pp. 2 ◽

Cited By ~ 2

Author(s):

Vipul D. Yagnik

Keyword(s):

Clinical Diagnosis ◽

Local Excision ◽

Epidermoid Cyst ◽

Primary Closure ◽

Male Breast ◽

Sebaceous Cyst ◽

Giant Cyst

Epidermoid cyst is commonly known as sebaceous cyst. It is the most commonly encountered cyst of the skin. Epidermoid cyst over the breast is uncommon. Punctum is the hallmark for clinical diagnosis. Local excision with primary closure is the treatment of choice. Biopsy is mandatory in giant cyst to exclude malignancy.

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Pediatric congenital buttock sinus tract: 10-year experience in a single institution

10.21203/rs.2.11562/v3 ◽

2019 ◽

Author(s):

Kai Wang ◽

Chunhui Peng ◽

Wenbo Pang ◽

Dayong Wang ◽

Tingchong Zhang ◽

...

Keyword(s):

Dermoid Cyst ◽

Epidermoid Cyst ◽

Treatment Time ◽

Recurrent Infection ◽

Sinus Tract ◽

Fistula Tract ◽

Categorical Variables ◽

Continuous Variables ◽

Retrorectal Space ◽

Retrorectal Cyst

Abstract Purpose: To review our experience with pediatric congenital buttock sinus tract, and to conclude the clinical characteristics and management of the disease. Methods: Twenty-two pediatric patients diagnosed with congenital buttock sinus tract were included. Medical records were reviewed, and the patients were followed up. Continuous variables were presented by median and range. Categorical variables were presented as frequencies and percentages. Results: Among the 22 patients, there were 8 boys (36.4%) and 14 girls (63.6%). The median first onset age was 42 months, and the range was 5 months to 12 years old. Admission age was 69.5 months, with a range from 14 months to 12 years old. Overall prior treatment time was 11 months, ranging from 3 months to 11 years. Twenty-one patients had definite congenital dimples since birth, and later manifested with infection through the dimple. All patients came to the doctor with complaint of the infection. The number of invasive procedures ranged from 0 to 5, with an average of 2. Radiology could exactly display the morphology and show the termination as a retrorectal cyst. The surgical procedure was adopted trans-fistula tract, and the pathological results showed a dermoid cyst in 11 patients and an epidermoid cyst in 10 patients. During the follow-up period of 34.5 months (range, 2 months to 8 years), 19 patients were uneventful and 3 patients suffered recurrence. Two of them underwent a second operation and had no recurrence ever since. The third patient did not receive a second operation, and the refractory infection was still present. Conclusions: Pediatric congenital buttock sinus tract is rare and has a female predominance in the morbidity. Patients have a distinctive congenital dimple on the buttock with recurrent infection, and there usually exists a congenital sinus tract from the dimple to the retrorectal space. Total excision is the only method for the cure. The nature of the disease is a retrorectal developing dermoid cyst or epidermoid cyst. Keywords: Pediatric, Buttock sinus tract, Retrorectal cyst, Treatment, Prognosis

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