A Rare Case of Multiple Epidermal Cyst Scrotum and Its Excision Under Spermatic Cord Block Obviating Spinal Or General Anaesthesia Need

Epidermal cysts are the most common epithelial cysts usually with non malignant potential. These occur commonly in hair- bearing areas mostly on the scalp, also on the face, neck, back, and scrotum. Etiology is usually unknown. It can be seen commonly in individuals with history of significant Acne vulgaris. Multiple sebaceous cysts over the scrotum is a rare condition. Only eight cases of multiple epidermal cysts in scrotum have been reported so far from India in the past literature. This condition is usually asymptomatic and painless. It may turn painful if gets infected and often may be associated with discharge of pus. We present a rare case of multiple epidermal cysts of scrotum in a 36 year old patient which was managed with complete excision of the cysts done under local anesthesia followed by primary closure with better outcome in cosmesis taking care of not to jeopardize the vascular supply to local flaps and testis.

Laparoscopic spleen-preserving dome resection for a giant primary epithelial splenic cyst

Non-parasitic splenic cysts are rare and are seldom diagnosed outside the paediatric surgical practice. Giant true primary epithelial cysts greater than 14 cm in diameter are even rarer. Laparoscopic surgery is preferable; however, bleeding, splenectomy and recurrence are recognised risks. Here, we report a young female patient with a 21 cm symptomatic primary splenic cyst. The patient underwent a spleen-preserving laparoscopy and was followed up for 2 years when she had an MRI of the abdomen. Surgical, technical and perioperative treatment aspects are discussed here, in the context of the current literature.

Modern aspects of clinical, radiological and computed tomographic diagnostics of odontogenic cysts and the results of their treatment

There are many classifications of jaw cystic formations. The most perfect is the International histological classification of odontogenic tumors, cystic lesions of the jaws and tumor-like processes, approved by WHO in 1971. According to WHO, the group of epithelial cysts includes both developing ones, including odontogenic (primordial or keratocyst, gingival, erupting, follicular) and non-ontogenic origin (nasopalatine duct, globular-maxillary, nasolabial or so-called naso-alveolar), and inflammatory (radicular) tumor-like formations.

Concurrent Eosinophilic Solid and Cystic Renal Cell Carcinoma and Angiomyolipoma With Epithelial Cysts in the Setting of Tuberous Sclerosis Complex: A Rare Synchronous Occurrence of 2 Distinct Entities

Eosinophilic solid and cystic renal cell carcinoma (ESCRCC) is a recently described distinct renal neoplasm known to occur almost exclusively in female patients with or without tuberous sclerosis complex (TSC). We report a case of ESCRCC with 2 synchronous angiomyolipomas, including 1 angiomyolipoma with epithelial cysts (AMLEC), a rare cystic variant of AML that typically arises sporadically in the absence of TSC, in a 46-year-old woman with TSC. Besides additional copy number alterations identified in ESCRCC via molecular karyotyping, we also report a unique histologic feature of TSC-associated ESCRCC previously not described in detail, with formation of semicircular multinucleated neoplastic giant cells engulfing an additional intact neoplastic cell, simulating emperipolesis. To the best of our knowledge, this is the first reported case of ESCRCC with concurrent AMLEC in a patient with TSC, confirmed through additional genetic testing showing a germline heterozygous mutation in TSC1. Awareness of ESCRCC helps avoid the pitfall of a diagnosis of unclassified renal cell carcinoma, a typically much more aggressive tumor.

Tectonic Keratoplasty to Restore the Bulbar Wall after Block Excision of Benign and Malignant Intraocular Tumors

Purpose. To report the surgical treatment and follow-up of tumors of the anterior uvea and epithelial cysts of the anterior chamber in 4 patients submitted to block excision and tectonic corneal graft between 2008 and 2012. Methods. This is a retrospective, nonrandomized case series. Two patients were affected by anterior uveal malignant melanoma, and 2 patients were referred to us for large epithelial iris cysts with anterior chamber angle involvement and partial corneal failure. A simultaneous block removal of the lesion and adjacent iris, cornea (when necessary), ciliary body, and sclera was performed; the resulting defect was covered by a tectonic whole thickness corneal graft. Follow-up ranged from 2 to 7 years (mean time: 5 ± 1.6 MD). Results. Local control of malignant melanoma was observed during the follow-up, but cataract surgery was planned in both patients and pars plana vitrectomy for vitreous hemorrhage occurred in one case. No recurrence of cysts was detected. After iris cysts excision, a planned second-time surgery was necessary in one patient: optical penetrating keratoplasty, centered on the visual axis, implantation of one refractive IOL (intraocular lens) in the bag, and one cosmetic IOL in the sulcus, to restore the iris diaphragm. Conclusions. Block excision followed by the tectonic corneal graft seems to be the treatment of choice for selected cases of epithelial cysts of the anterior chamber and anterior uvea melanomas with epibulbar extension. Further surgery, as a second step, could be required to improve functional results of this challenging technique.

Histopathological subtypes and demographic profile of cystic jaw lesions - A hospital based study

Background: Odontogenic cysts are defined as the epithelial cysts which arise from odontogenic epithelium and occur in tooth bearing regions of jaws. The objective of the present study was to analyze different histopathological types of cystic jaw lesions and to determine the distribution of their relative frequency according to site, sex, size and age group. Materials and methods: This study was a cross sectional hospital based observational study conducted in the Department of Pathology, Manipal Teaching Hospital. All cases with cystic jaw lesions on histopathology during the study period from January 2014 to December 2018 were included in the study. Results: Thirty-two cases of cystic jaw lesions were reported during the study period. Females were more commonly affected in our study with a male: female ratio of 1:1.9. The age range in the study was 9 to 71 years with a mean age of 33.3 years. The most frequent type was radicular cysts followed by dentigerous cysts, odontogenic keratocysts and cystic ameloblastoma. Radicular cysts showed the most female predilection with a ratio of 1:4.3. and a mean age of 35.6 years. Majority of dentigerous cysts were seen in patients below 30 years. Both radicular cysts and dentigerous cysts showed more involvement of maxilla but odontogenic keratocysts were more common in mandible Conclusions: The present study corroborate with other similar literature with respect to the frequency percentage of different types of jaw cysts.However, female predilection was seen in radicular and dentigerous cysts. Maxilla was the more common site except in odontogenic keratocysts.