Cutaneous cystic lesions: its clinicopathological correlation with emphasis on unusual findings.

Inbasekaran, Poovizhi; Ramachandran, Thamilselvi; Sivadharshini., S. J.; Murugan, Roopmala

doi:10.17511/jopm.2021.i03.07

Cited by 2 publications

(4 citation statements)

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“…The dermoid cyst was the third most prevalent cyst in our study accounting for 6.3% which is discordant with the findings of Inbasekaran et al, and Singh et al [ 1 , 9 ]. It showed female predominance, with eye as the most common site and the majority of cases presenting in the second and third decade of life.…”

Section: Discussionsupporting

confidence: 84%

“…Female predilection was noted with the majority of the cases presenting in the fourth decade of life. Histologically, trichilemmal cysts showed benign stratified squamous epithelium without granular layer, abrupt trichilemmal type of keratinization, and associated inflammation in ruptured The dermoid cyst was the third most prevalent cyst in our study accounting for 6.3% which is discordant with the findings of Inbasekaran et al, and Singh et al [1,9]. It showed female predominance, with eye as the most common site and the majority of cases presenting in the second and third decade of life.…”

Section: Figure 1: Epidermal Inclusion Cystsupporting

confidence: 85%

“…Benign cutaneous cysts are one of the most common skin lesions encountered clinically. The benign cutaneous cysts have a broad morphological spectrum that correlates with the structures of origin, mainly including the epidermis, pilosebaceous units, and eccrine/apocrine sweat ducts [1,2]. A vast majority of cystic lesions of skin are benign; however, sometimes malignancies can perfectly imitate cystic clinical presentation necessitating histological evaluation [3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Benign cutaneous cysts are prevalent skin abnormalities that can lead to aesthetic and medical issues, eliciting significant concern among both patients and their healthcare providers. Cysts are fluid-filled cavitary lesions, lined by different types of epithelium [ 1 ]. The cutaneous cysts are mostly benign; however, sometimes malignant lesions may also present as cystic lesions.…”

Section: Introductionmentioning

confidence: 99%

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Benign Cutaneous Cysts: A Comprehensive Analysis of 1160 cases

Chughtai,

Hashim,

Saleem

et al. 2023

Cureus

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Background Cysts are common skin abnormalities that are mostly benign; however, sometimes malignant lesions may present clinically as cystic manifestations. Benign cutaneous cysts can be of different morphological types and their diagnosis relies on histological evaluations. The most common mode of treatment is surgical excision, which is curative. Methodology This is a retrospective cross-sectional study conducted at the Department of Histopathology, Chughtai Institute of Pathology, Lahore, Pakistan from 1st January 2020 to 31st December 2022. Non-probability consecutive sampling was done, and all the cases of benign cutaneous cysts were included. All cases were microscopically reviewed by two histopathologists, and variables like age, gender, site of the lesion, and histological diagnosis were noted. The data were analyzed using IBM SPSS Statistics for Windows, Version 29 (Released 2022; IBM Corp., Armonk, New York, United States). Results A total of 1160 recorded cases of benign cutaneous cysts were included. Overall gender distribution revealed males (n=489, 42.1%) and females (n=671, 57.8%). The age range was 3 to 91 years with a mean age of 37.56 ± 16.05 years. The three most common cysts were epidermal inclusion cysts (74.3%), trichilemmal cysts (15.1%), and dermoid cysts (6.3%). Other cysts were uncommon including hidrocystoma (1.9%), steatocystoma (0.3%), verrucous cysts (0.3%), comedones (0.6%), hybrid cysts (0.2%), milia (0.3%), and vellus hair cysts (0.2%). The most common site was back (23.5%) for epidermal inclusion cysts, scalp (74.4%) for trichilemmal cysts, and eye (33.8%) for dermoid cysts. Conclusion Benign cutaneous cysts have a broad morphological spectrum with a wide age range. Epidermal inclusion cysts, trichilemmal cysts, dermoid cysts, and hidrocystoma account for the four most common types. For each of the other cyst type, the prevalence was under 1%. Female gender predominated in epidermal inclusion cysts, trichilemmal cysts, and dermoid cysts while male gender was common in other cysts. Overall majority of the cysts presented in the head and neck area.

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Section: Discussionsupporting

confidence: 84%

Section: Figure 1: Epidermal Inclusion Cystsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Benign Cutaneous Cysts: A Comprehensive Analysis of 1160 cases

Chughtai,

Hashim,

Saleem

et al. 2023

Cureus

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Histopathologic profile of cutaneous cystic lesions in teaching hospital, Nnewi, South-east, Nigeria

Ezejiofor

Olaofe

Ezejiofor

et al. 2023

Egyptian Journal of Dermatology and Venereology

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Background A cyst is an enclosed space or abnormal sac within a tissue, usually containing fluid or semisolid matter and lined by epithelium. Aims and objectives To study all the cutaneous cystic lesions with respect to age, sex, anatomic site, and histologic types in a population of Nnewi, South-East Nigerian. It also aimed at highlighting the importance of histology in evaluating and preventing misdiagnoses encountered in cutaneous cystic lesions. Patients and methods A retrospective review was performed on the histopathology register on all histologically diagnosed cutaneous cysts at the Histopathology Department of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria from 2011 to 2019. Results A total of 94 cutaneous cystic lesions, accounting for 1.3% (94/7204) of all surgical biopsy specimens, were included in this study. An overall clinicopathological correlation showed 26.6% (25/94) accuracy, but 73.4% were incorrectly diagnosed, with 7.4% (5/69) of cases misdiagnosed clinically as malignant lesions and one case of malignant cystic lesion diagnosed clinically as benign cyst. There were 49 males and 45 females, giving a slight male predominance, with male to female ratio of 1.1 : 1. The age ranged from 6 weeks to 79 years, with a mean±SD age of 26.5±21.1 years, and a peak age group of 0–10 years, representing 29.8% (28/94). Benign cutaneous cystic lesions were far commoner than malignant ones and included majorly epidermal inclusion cyst [37.2% (35/94)], pilar cyst [17.0% (16/94)], thyroglossal cyst [12.8% (12/94)], and dermoid cyst [8.5% (8/94)]. The only malignant cutaneous cyst was immature cystic teratoma [1.06% (1/94)]. The anatomic site most frequently affected was the head and neck [63.8% (60/94)]. Conclusion Histopathologic evaluation is still the gold standard in eliminating misdiagnosis of these lesions. Epidermal inclusion cysts followed by pilar cysts were commonest cutaneous cystic lesions in our environment and occur more at the third decade and above, whereas cystic hygroma, dermoid cysts, and brachial cyst were predominant at the first decade of life.

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Cutaneous cystic lesions: its clinicopathological correlation with emphasis on unusual findings.

Cited by 2 publications

References 14 publications

Benign Cutaneous Cysts: A Comprehensive Analysis of 1160 cases

Benign Cutaneous Cysts: A Comprehensive Analysis of 1160 cases

Histopathologic profile of cutaneous cystic lesions in teaching hospital, Nnewi, South-east, Nigeria

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