Presentation and Management of Intermammary Epidermoid Cyst: A Case Series

Abstract

Introduction This study aims to demonstrate the clinical presentation and treatment of epidermoid sinuses occurring in the intermammary region. They are formed by dome-shaped nodules resulting from burst pilosebaceous follicles. Methods The study is a retrospective multicenter case-series study. The cases were presented and treated for 12 years. It includes cases with a ruptured epidermoid cyst. The cases were managed through excision and primary closure of the lesion. Results The case series included 19 cases; 18 (95%) patients were female, and the age ranged between 15 to 30 years. All of the patients were obese. All the female cases had hyperpigmented patches in the intermammary region. All of them complained of discharge from the intermammary region for a prolonged period, ranging from 6 weeks to 2.5 years. Two cases (10.5%) developed recurrence and were managed by re-excision and primary closure. Conclusion The intermammary epidermoid cyst is a very rare form of the disease. The most effective management strategy is wide local excision with primary closure.