Cytological diagnosis of epidermal inclusion cyst of breast: A rare benign lesion

Phukan, Jyoti Prakash; Sinha, Anuradha; Pal, Subrata; Sinha, Rajani

doi:10.4103/0976-9668.136251

Cited by 8 publications

(9 citation statements)

References 7 publications

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“…EIC is a benign cutaneous lesion that represents the proliferation and implantation of squamous epithelium within a circumscribed space in the dermis or sub-dermis [1 , 2] . Typical locations for EIC are face, neck, trunk region, and the extremities [1 , 2] .…”

Section: Discussionmentioning

confidence: 99%

Epidermal inclusion cyst in male breast: how to differentiate from other male breast lesions

Yurtsever

Cakir³

et al. 2022

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Epidermal inclusion cyst in male breast: how to differentiate from other male breast lesions

Yurtsever

Cakir³

et al. 2022

Radiology Case Reports

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“…Left side preponderance was noted in all the cases, the reason attributed being pin prick injury during customary traditional attires in this sociodemographic region especially among 4 th and 5 th decade of life, thus correlating with previous Research works. 8,9 The reason attributes includes blockage of pilosebaceous units and adnexal structures leading to cystic reaction in the dermis. 9 Diagnostic modalities includes cytology, radiological methods and biopsy study.…”

Section: Discussionmentioning

confidence: 99%

“…7 Researchers identified prick injury, chronic irritation, high pressure dependent parts serve the major reasons for etiopathogenesis of keratinous cyst. 7,8 While keratinous cyst is very commoner in extremities and cutaneous structures, epidermal cyst of the breast is a rare and very unusual condition. Literature study on epidermal cystic disease of breast are available proposing various analysis on causes and manifestations.…”

Section: Introductionmentioning

confidence: 99%

Incidence of epidermoid cyst of the breast: An analysis on clinico-pathological and radiological correlation

K¹,

Shanmugasamy²,

Bhavani³

et al. 2020

JDPO

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Introduction: Breast diseases are the major pathological lesion occurring among Tropical females with high co-morbidities. Cystic disease of breast is a broad entity often having many differentials clinically reaching out to the Pathologists. Epidermoid cysts of breast are condition occurring in cutaneous adnexae of extremities and its occurrence in breast is a rare entity. While trauma/therapeutic surgery including trucut biopsy is the major underlying cause, it is characterized by cystic lesion in dermis especially in peri-areolar region. Though radio-imaging serves to pick up cystic lesions, it downplays in categorizing the nature of the cyst. Cytology plays a major role in diagnosing the disease, appropriate clinico-pathological correlation with radio-imaging may improvise early pick up of this condition, thereby aiding in prompt treatment. Materials and Methods: The present study was conducted for a period of 4 years with specific inclusion and exclusion criteria. All the clinical details including history of surgery, trauma, site, socio-demography, size, radio diagnosis etc, were documented in a proforma. Patients are subjected to routine cytology procedure at clinician's request. Biopsy was done in specific indicated cases as therapeutic procedure and also for histological correlation the data are entered in tables and analysis was done aiming to frame clinico-pathological correlation with radio-imaging interpretation. Results and Observations: A total number of 10 cases were analysed in the study period. Left breast was predominantly affected and age incidence ranged between 3 rd to 5 th decade. While retro-areolar region was commonly involved, clinical diagnosis had many differentials. Cytology aspirates showed pultaceous to blood mixed material and corresponding Cytology showed keratinous cells with inflammation which were confirmed on histology on 7 available cases. Conclusion: Epidermoid cyst of breast is a rare condition and should be kept as one of the differential diagnosis by clinician and Pathologist while dealing with cystic breast diseases. Cytology procedure holds good in effective diagnosis of the condition and Clinico-Pathological correlation aids in improvising early diagnosis thereby alleviating patient's stress.

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“…EIC of the breast typically appears as a smooth, round nodule, the nature of which cannot be detected through this method. Ultrasonographic imaging consistently achieved an accurate diagnosis (1,2,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)22,23,25,26), whilst mammography achieved accuracy in 79% of the reported cases (6)(7)(8)(9)(10)(11)(12)(15)(16)(17)(21)(22)(23)(24)(25)(26)(27). Magnetic resonance imaging was used in only 2 cases (16,25), but it was also observed to consistently identify EIC of the breast accurately.…”

Section: Discussionmentioning

confidence: 99%

Epidermal inclusion cyst of the breast: A literature review

et al. 2015

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Abstract. An epidermal inclusion cyst (EIC) of the breast is a rare, benign condition that may potentially be malignant. The present study conducted a systematic review of the literature in order to identify pathological hypotheses, clinical characteristics, and diagnostic and treatment options. A search for relevant studies was conducted through the Scopus, Embase and Medline databases during September 2014. The search term employed was ῾epidermal inclusion cyst breast᾽. Studies were selected if they contained adequate information regarding symptoms at presentation, diagnostic tools, pathology, characteristics, type of procedure performed and follow-up routines. A total of 35 papers describing 91 patients affected by EIC of the breast were identified. Following this, a total of 82 patients, including an additional case supplied from the present study, were selected for further analysis. EIC of the breast typically occurs during the fifth decade of life. A palpable mass of the breast was present in 65 (79%) patients. Ultrasonographic imaging was consistently utilized as a diagnostic tool in all the cases analyzed, whereas fine-needle aspiration cytology was used in 70% of the cases and mammography in 65%. No tumor recurrence was reported at a mean follow-up time of 53 months. The present study demonstrated that elliptical excision is the preferred treatment for EIC of the breast, with pathological analysis required to exclude malignancy.

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Cytological diagnosis of epidermal inclusion cyst of breast: A rare benign lesion

Cited by 8 publications

References 7 publications

Epidermal inclusion cyst in male breast: how to differentiate from other male breast lesions

Epidermal inclusion cyst in male breast: how to differentiate from other male breast lesions

Incidence of epidermoid cyst of the breast: An analysis on clinico-pathological and radiological correlation

Epidermal inclusion cyst of the breast: A literature review

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