Epidermoid cyst of the suprasternal region: a rare case report

Manie, Manal Al Bin; Al‐Qahtani, Khalid; Ammar, Adel; Islam, Tahera; Otaibi, Faiza N. Al

doi:10.1016/j.bjorl.2016.04.010

Cited by 9 publications

(12 citation statements)

References 10 publications

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“…Clinically, this may initially be characterized by local tenderness. Inferiorly, the focal collection of chronic inflammatory cells outside the cyst wall is the result of a previous infection [10,11]. A granular layer is present that is filled with keratohyalin granules [4].…”

Section: Histopathologymentioning

confidence: 99%

“…Increased blood flow in the periphery of the cysts during the phases of inflammation and rupture, frequently low flows, can be noted (Fig. 6) [10,11]. According to Lee et al, Color Doppler signals were absent in 83.3% cases, but some vascularity was noted in 16.7% ruptured epidermoid cysts, in areas of granulation tissue.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…An unruptured epidermoid cyst is demonstrated as a noninfiltrating, fluid density mass with a thin sclerotic wall. The wall can enhance on contrast-enhanced images [11]. CT is fast and cost-effective compared with contrast-enhanced MRI studies, but MRI may be superior in delineating soft-tissue and vascular involvement for surgical planning (Fig.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…T1W images can reveal some slightly hyperintense foci. Contrast-enhanced T1W images demonstrate a mass with central nonenhancement and peripheral thin rim enhancement [10,11].

Fig.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

“…A local anesthetic with epinephrine is preferred to minimize bleeding. The anesthetic should be injected around the cyst, with avoidance of direct injection into the cyst [11]. A small diameter elliptical incision with the inclusion of the central core, or punctum can be utilized.…”

Section: Treatmentmentioning

confidence: 99%

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Overview of epidermoid cyst

Hoang

Trinh²,

Nguyen

et al. 2019

European Journal of Radiology Open

139

159

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Highlights The term “sebaceous cyst” has fallen into disuse, the current term is an epidermoid cyst. Other common synonyms include infundibular cyst, epidermal cyst, epidermal inclusion cyst, and epidermoid inclusion cyst. These cysts are slow-growing masses that elevate the skin and often have a central punctum. On radiology, they have round to oval structure, well-circumscribed, avascular mass; restricted diffusion is typical. Removal may be accomplished by simple excision or incision.

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Section: Histopathologymentioning

confidence: 99%

Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Diagnostic Imagingmentioning

confidence: 99%

“…T1W images can reveal some slightly hyperintense foci. Contrast-enhanced T1W images demonstrate a mass with central nonenhancement and peripheral thin rim enhancement [10,11].

Fig.…”

Section: Diagnostic Imagingmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Overview of epidermoid cyst

Hoang

Trinh²,

Nguyen

et al. 2019

European Journal of Radiology Open

139

159

View full text Add to dashboard Cite

show abstract

Diagnosis and therapy of giant epidermoid double cysts with infection on the buttock: A case report and literature review

Wu,

Wang,

Jiang

et al. 2024

Medicine

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Rationale: Epidermoid cyst (EC) is a common clinical condition and it can be filled with keratinized material. EC often represents painless, slow progressive growth, and single cyst. The cyst is usually 1 to 5 cm in size. Giant epidermoid cysts on the buttock area are extremely rare, and reports of giant epidermoid double cysts on the buttock are even rarer. Patient concerns: This paper reports a patient with a painless mass was on the left buttock. Diagnosis: A giant epidermoid double cysts with infection in a left buttock paranal location. Interventions: The mass was surgically removed. Outcomes: The patient recovered well after surgical treatment and currently has no recurrence. Conclusion: For patients with EC, MRI is recommended as a routine examination before surgery in order to detect the variation and extent of the cyst early. This lays a foundation for the complete resection of the lesion during the operation. The review of relevant literature will hopefully be helpful to clinicians.

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Effects of inflammation on the accuracy of ultrasound diagnosis of epidermoid cysts

Wei

Pang

et al. 2022

Med Ultrason

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Aims: Ultrasound (US) findings of epidermoid cyst (EC) are complex and diverse. Cases of misdiagnoses are high when EC is accompanied by inflammation. The aim of this study was to analyze the features of US diagnosis of EC with inflammation and explore the characteristic images which can improve the accuracy of ultrasound diagnosis.Material and methods: A total of 241 cases were included and retrospectively analyzed. Complete clinical data of all cases were available. Lesions were examined by US before operation and the diagnosis was confirmed by histopathological examination. Based on pathological results ECs with/without acute and chronic inflammation and/or granuloma, all cases were divided into two groups: inflammation and non-inflammation group. The difference of clinical data and US features between groups was analyzed by univariate and multivariate logistic regression.Results: Analysis of skin color, length/thickness, shape, boundary, CDFI and US diagnosis accuracy showed statistical differences between the two groups (p<0.05). Multivariate logistic regression model showed that indistinct boundaries and color Doppler signal were more frequent than those in ECs without inflammation (OR=4.72, 5.89, p<0.05).Conclusion: Indistinct boundaries and color Doppler signal are important features for US diagnosis of EC with inflammation, which can help in improving the accuracy of diagnosis

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Epidermoid cyst of the suprasternal region: a rare case report

Cited by 9 publications

References 10 publications

Overview of epidermoid cyst

Overview of epidermoid cyst

Diagnosis and therapy of giant epidermoid double cysts with infection on the buttock: A case report and literature review

Effects of inflammation on the accuracy of ultrasound diagnosis of epidermoid cysts

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