Suprasternal Epidermoid- A Rare Case Report

Abstract

BACKGROUNDSwelling in the head and neck region is always a diagnostic dilemma. Approximately, 7% of the swellings in head and neck regions turn out to be cases of epidermoid or dermoid cysts. Epidermoid cysts are known as benign, squamous epithelium-lined cystic spaces, they may occasionally contain skin adnexa (true dermoid cyst) or derivatives from all 3 germ layers (teratoma). We here present a case of a suprasternal cystic swelling in a 5-year-old girl, present since 3 years. The mass was soft, mobile and nontender. FNAC and USG were suggestive of a dermoid cyst. The cyst was excised under general anaesthesia. Histopathological examination confirmed it to be an epidermoid cyst. There was no recurrence over 6 months followup. This is an interesting case of epidermoid cyst in the suprasternal notch which is a very rare presentation and only few cases have been reported in literature.