Giant Epidermoid Cyst Research Articles

Giant Epidermoid Cyst of the Scalp Growing for 76 Years

Epidermoid cysts are prevalent noncancerous cutaneous lesions known to exhibit unusually extended periods of growth. In this study, we present a remarkable case of an epidermoid cyst located on the scalp, which exhibited a growth period of 76years, the longest growth time documented in the literature to date. The presence of the mass was noted at birth, and it exhibited gradual growth throughout the years, with a notable acceleration observed during the final 2 years. The patient underwent a surgical excision, and the histopathological analysis was consistent with epidermoid cyst, featuring localized rupture and demonstrating foreign body granulomatous inflammation. This case highlights the ability of epidermoid cysts to manifest as slow-growing entities over an exceptionally prolonged timeframe. Furthermore, instances of rapid growth may be attributed to a combination of mass rupture and inflammatory processes.

Giant epidermoid cyst of the vulvo-perineal region during pregnancy.

Giant epidermoid cyst of the vulvo-perineal region during pregnancy.

Spinal dermal sinus coinciding with an infected giant epidermoid cyst in an infant presenting with constipation: a case report

Early diagnosis of spinal tumors is a prerequisite for achieving satisfactory neurological recovery. However, rare diseases tend to have a long diagnostic course.1 In addition, the clinical presentation of spinal tumors in most children is not apparent, moreover, spinal tumors may not show clinical symptoms if they are located in the lumbar spine and sized no more than one vertebra.2,3 Clinical presentations caused by tumors in the lumbar spine may include weakness of both limbs, impaired urination, and constipation.

A Case of a Giant Sublingual Epidermoid Cyst Removed by Content Reducing Surgery

The frequency of epidermoid cysts in the maxillofacial region is relatively low. Reported: a case of a giant sublingual epidermoid cyst on the floor of the mouth. Case: 38-year-old woman. Chief complaint: oral swelling and respiratory distress. History of present illness: no special notes. Current medical history: she was aware of swelling of the floor of the mouth six months before visiting our department and was referred to our department because of increasing size. Present symptoms: at the time of examination, forced respiration and dysarthria were observed and a spherical soft elastic and well-defined mass was observed on the floor of the mouth. Due to the lesion, the tongue was displaced to the pharyngeal side and the tip of the tongue could not be confirmed. Imaging tests revealed a 65 mm × 76 mm × 54 mm well-defined mass on the mylohyoid muscle, and a dermoid or epidermoid cyst was suspected. Based on the clinical diagnosis of the cyst, the bulk of the cyst contents was reduced under general anesthesia, and the cyst was removed by intraoral surgery. The pathological diagnosis was an epidermoid cyst. For sublingual giant epidermoid cysts, removal by content reducing surgery was considered to be effective.

Giant epidermoid splenic cyst associated with elevated serum marker CA 19-9.

Giant epidermoid splenic cyst associated with elevated serum marker CA 19-9.

Case Report: Giant Epidermoid Cyst on the Neck with Hypopharyngeal Propulsion

Introduction: Dermoid cyst is a cystic mass lined with stratified squamous epithelium with skin adnexal structure. Histopathologically dermoid cysts consist of 3 types, namely epidermoid cysts, true dermoid cysts and teratoid cysts. Epidermoid cysts are characterized by masses with a simple squamous epithelial lining. When the cyst ruptures, it releases a cheesy white matter that smells bad. Epidermoid cysts are most commonly found in the age range of 15 and 35 years with almost the same frequency between male and female sexes. Case description: We report a case of a 52-year-old man with a lump on the left side of the neck that has been slowly growing since 1 year and a computer tomography of the neck suspected a cyst in the anterior glottis. The patient was diagnosed as a neck cyst. Management was carried out by excision of the cyst under general anesthesia and histopathological examination with the results of an Epidermoid cyst. Conclusion: Epidermoid cysts can develop in any part of the body, but are very rare on the head and neck. Definitive management of epidermoid cysts with complete excision of the cyst gives satisfactory results
 Keywords: Giant Epidermoid Cyst, excision, hypopharyngeal propulsion

Endoscopic-Assisted Keyhole Resection of a Recurrent Epidermoid Tumor: 2-Dimensional Operative Video

Epidermoid tumors are benign lesions. Surgical resection is the only treatment option available for these lesions.1 The surgical approach should be tailored to the clinical and anatomic findings to achieve radical resection, preferably total removal of the content and the capsule to prevent recurrences.2 Total resection is frequently possible in de novo lesions using tailored skull base approaches and their combination as well as modern microsurgical techniques, including the endoscope-assisted tools.2,3 Giant recurrent tumors, however, are not amenable for total resection. Hence, the severe adhesions will lead to a higher morbidity as the epidermoid capsule becomes thicker and more fibrous after prior resections attempts.2,4 The extent of the resection should still be safely extended as much as possible to delay the interval between surgeries. Endoscopic techniques are of great help in achieving such results through a keyhole approach when conservative surgery is decided.3 We present the case of a 69-yr-old male with a past medical history of coronary heart disease, hypertension, hypothyroidism, and recurrent giant epidermoid cyst in the left cerebellopontine angle, with significant compression of the brainstem and extended into Meckel's cave, internal auditory canal, and jugular fossa. He underwent resection in 1983, 2004, and 2012. He presented with worsening gait, and multiple cranial nerves deficits. A minimally invasive approach through a keyhole craniotomy was performed given the age, comorbidity, and multirecurrent nature of his lesion. The patient consented to the intervention and publication of his image. He had a satisfying evacuation of his cyst content with transient facial and lower cranial nerve postoperative worsening.

Giant Epidermoid Cyst of Posterior Fossa-Our Experience and Literature Review.

Introduction. Intracranial epidermoid cysts are the most frequent congenital intracranial lesion. They rare and benign tumors that can present in different clinical situations depending on location and extension of the disease. Diagnosis is obtained with radiological imaging with RM and non-enhanced TC as elective investigating methods. Elective treatment is surgery, based on total/subtotal excision sparring healthy neurovascular structures, considering the benign nature of this lesion. Case Report. In this study we present the case of a 79-year-old woman affected by recidivist epidermal cyst of the posterior fossa. Clinical presentation was characterized by positional subjective vertigo, intense headache localized in the right part of the head increased by Valsalva maneuver and retroarticular subcutaneous swelling. Radiological investigation found a giant epidemoid cyst of the posterior fossa (8,4 x 4,8 x 5,8 cm), treated with surgery. In the postoperative, the patient was fine and no neurological deficit has been encounterd. REVIEW. In this study, we present a review of the literature regarding giant epidermoid cysts of posterior fossa. Only 11 cases were reported before ours, which actually is one of the largest ever described.

Giant epidermoid cyst in the submandibular region: Case report

Giant epidermoid cyst in the submandibular region: Case report

Giant epidermoid cyst: a case report

Cystic masses of neck consist of various pathologic entities Epidermoid cysts are rare in the head and neck region Patient presents with a painless slow growing swelling Imaging modality used to diagnose and manage the epidermoid cyst is ultrasonography followed by CT scan In this study diagnosis and management of a giant epidermoid cyst in the submental region is being considered

Giant Epidermoid Cyst of the Maxillary Sinus: A Postoperative Complication?

Epidermoid cysts are benign lesions, which are usually detected on the floor of the mouth in the head and neck region. They can develop from abnormal epithelial components of an ectoderm tissue during the embryological life or alternatively they can arise from the implanted epithelium after trauma or surgery. The diagnosis of an epidermoid cyst in the maxillary sinus can be challenging and it could be easily mistaken for any benign or malign lesion of the nasal cavity and paranasal sinuses. In this case, we present a 44-year-old man with a giant epidermoid cyst in the right maxillary sinus with a previous history of paranasal sinus surgery. We present a very rare case of epidermoid cyst and also discuss the importance of radiological imaging modalities in differential diagnosis of a unilateral expansile mass in the maxillary sinus.

Preauricular iatrogenic epidermoid cyst through middle-ear surgery

Iatrogenic implantation of squamous epithelium during middle-ear surgery may cause epidermoid cyst (EC) development. These cysts may arise in different localizations of the head and neck following otological surgery. In this rare case, a giant EC with a size of 56 mm × 30 mm, which appeared in the preauricular area growing in the past 1 year in a 40-year-old male patient who underwent type 1 tympanomastoidectomy due to chronic otitis media without cholesteatoma 8 years ago, was discussed with the literature in terms of clinical findings and differential diagnosis.

Giant neck cyst not only a surgical concern

Epidermoid cysts are slow-growing, usually benign lesions that derive from an abnormally located ectodermal tissue. Epidermoid cysts can appear anywhere on the body; they are usually small and frequently asymptomatic. Giant cysts are rare, with few cases ever described. We report a case of a 66-year-old male, with a giant mass in the neck that developed over the last 10 years. Due to geographic limitations and lack of access to health care, he allowed the mass to grow to giant proportions. Surgical treatment was decided, and the patient underwent full recovery. Giant epidermoid neck cyst was the final diagnosis.

Giant epidermoid cyst: a case report

Giant epidermoid cyst: a case report

A New Approach for Resection of Giant Sublingual Epidermoid Cyst

Objective: Epidermoid cyst is a cystic malformation which is most common in second and third decades, quite rare in oral cavity, which can be congenital or acquired and does not include skin tags. In this case report, we defi ned a giant epidermoid cyst which is located in mouth fl oor involving oral and submental regions, mimicking “plunging ranula” and discussed its surgical treatment.

Partial splenectomy for a giant epidermoid cyst of the spleen

Key Clinical MessageThe splenic epidermoid cysts are rare benign tumors, and a definitive treatment remains unclear. Although some spleen‐preserving approaches have been reportedly used, splenic cyst recurrence usually occurs in true cyst cases, wherein the cyst is incompletely removed. In our case, partial splenectomy was performed and the giant cyst was completely removed.

English

English

Giant epidermoid cyst of scalp – A rare clinical entity

Fig. 1 – Pre-operative picture of giant epidermoid cyst. Epidermoid cysts are the most common cystic lesions of the skin. They arise from pilosebaceous follicles in the hairy regions of the skin. Epidermoid cysts are usually asymptomatic; they enlarge slowly and vary in size usually from a few millimeters to 5 cm. A giant epidermoid cyst is >5 cms in diameter. Herein, we are reporting a case of giant epidermoid cyst on the scalp in the occipital area, which was a diagnostic surprise for us. A 75-year-old female patient presented to our outpatient department with the history of a very large, slowly growing swelling on the scalp in the occipital area for 20 years (Fig. 1), which spontaneously collapsed after draining foul swelling material while sleeping. On examination, a 20 cm 12 cm cystic swelling was present over scalp and bony indentation was palpable beneath. She was prepared for surgery and complete excision of the cyst with primary closure of the defect was done under GA and specimen was submitted for

A giant epidermoid cyst in the hands

This article describes an atypical localization of a giant epidermal cyst on the thenar area of the right hand. A 54-year-old male patient presented to our clinic with recurrent hypoesthesia in the thumb. There was a painful 4.5 cm-diameter lesion on his right thenar area. After diagnostic tests, the lesion was excised with its capsule, and sent to the pathology department. The histopathological result was reported as an epidermoid cyst. There was no complication, such as pain, numbness in the thumb, infection, finger movement disorder, or undesirable scar formation, on the skin. Epidermoid cysts should be kept in mind in the differential diagnosis of tumors of the hand.

Congenital giant keratinous cyst mimicking lipoma: Case report and review

Epidermal cysts represent the most common cutaneous cysts. They arise following a localized inflammation of the hair follicle and occasionally after the implantation of the epithelium, following a trauma or surgery. Conventional epidermal cysts are about 5 cm in diameter; however, rare reports of cysts more than 5 cm are reported in the literature and are referred as “Giant epidermal cysts.” Epidermal cysts although common, can mimic other common benign lesions in the head and neck area. A thorough clinico-pathologic investigation is needed to diagnose these cutaneous lesions as they differ in their biologic behavior, treatment, and prognosis. We report a case of a giant epidermoid cyst in the scalp area of a young female patient which mimicked lipoma on clinical, as well as cyotological examination. We also present a brief review of epidermal cysts, their histopathological differential diagnosis, and their malignant transformation.