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Na JY, Kim SH, Lee N. Cecal epidermoid cyst: a neonatal case with clinicopathological consideration. BMC Pediatr 2021; 21:415. [PMID: 34544386 PMCID: PMC8453995 DOI: 10.1186/s12887-021-02884-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 09/08/2021] [Indexed: 11/19/2022] Open
Abstract
Background Only 10 cases of cecal epidermoid cyst (CEC) have been reported in the literature. Furthermore, its pathogenesis remains unclear. We report a rare case of congenital CEC in neonate, and discuss its clinicopathological findings. Case presentation A cystic lesion was incidentally identified in the retroperitoneal area of the abdominal right lower quadrant during a routine prenatal ultrasonography (US), prompting an ileocolectomy 3 days after birth. This congenital cyst was composed of mucosal lining cells and submucosal connective tissues, and the inner lining mucosa was composed of stratified squamous epithelium and focally mucin-producing ciliated epithelium. Based on the macroscopic and microscopic findings, the cystic lesion was diagnosed as a congenital cecal epidermoid cyst. Conclusions The management of a fetal abdominal mass should be tailored individually, considering that epidermoid cysts can occur in the cecum during the perinatal period. We report the clinicopathological findings in this case, including its possible pathogenesis.
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Affiliation(s)
- Joo-Young Na
- Department of Pathology, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea
| | - Soo-Hong Kim
- Department of Pediatric Surgery, Pusan National University Children's Hospital, Yangsan, Republic of Korea
| | - Narae Lee
- Department of Pediatrics, Pusan National University Children's Hospital, 20, Geumo-ro, Mulgeum-eup, 50612, Yangsan, Republic of Korea.
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Tonelli G, Soricelli E, Vannucchi M, Lucchese M. A rare case of epidermoid cyst of the cecum. Clin J Gastroenterol 2021; 14:1746-1748. [PMID: 34403033 DOI: 10.1007/s12328-021-01496-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Accepted: 07/31/2021] [Indexed: 11/27/2022]
Abstract
Epidermoid cysts of the gastrointestinal tract are very uncommon and the published literature on this subject is anecdotal. We report the case of a 51-year-old man who was diagnosed with a cystic neoplasm located close to the cecum and the appendix. Given the strong suspicion of an appendiceal mucocele, the patient underwent a laparoscopic exploration. During the operation, a semisolid mass appearing to originate from the cecal wall was identified and a laparoscopic ileo-cecal resection was performed. The pathological diagnosis was an epidermoid cyst of the cecum. An epidermoid cyst of the cecum is a rare entity that usually has a mild and aspecific clinical picture. However, it should be included in the differential diagnosis of an occasionally diagnosed peri-cecal cystic lesion.
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Affiliation(s)
- Giovanni Tonelli
- Department of Surgery, General and Bariatric Surgical Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova, 1, 50122, Florence, Italy
| | - Emanuele Soricelli
- Department of Surgery, General and Bariatric Surgical Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova, 1, 50122, Florence, Italy.
| | | | - Marcello Lucchese
- Department of Surgery, General and Bariatric Surgical Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova, 1, 50122, Florence, Italy
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Destro F, Maestri L, Meroni M, La Pergola E, Andronache AA, Clemente C, Riccipetitoni G. Colonic mature cystic teratoma. JOURNAL OF PEDIATRIC SURGERY CASE REPORTS 2019. [DOI: 10.1016/j.epsc.2018.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
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Suito M, Kitazawa T, Tsunekawa K, Shiba M, Ikeda T. Intertendinous epidermoid cyst of the forearm. CASE REPORTS IN PLASTIC SURGERY AND HAND SURGERY 2019; 6:25-28. [PMID: 32002452 PMCID: PMC6968711 DOI: 10.1080/23320885.2018.1564314] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 12/24/2018] [Indexed: 11/25/2022]
Abstract
As epidermoid cysts generally originate from hair follicle infundibulum, they appear as intradermal or subcutaneous tumors and are very rare in locations away from the skin. Here, we report a rare case of intertendinous epidermoid cyst of the forearm in a 68-year-old man that was treated surgically.
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Affiliation(s)
- Motomu Suito
- Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, Hashima-gun, Japan
| | - Takeshi Kitazawa
- Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, Hashima-gun, Japan
| | - Kazuhiro Tsunekawa
- Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan
| | - Masato Shiba
- Department of Plastic and Reconstructive Surgery, Matsunami General Hospital, Hashima-gun, Japan
| | - Tsuneko Ikeda
- Department of Human Pathology, Matsunami General Hospital, Hashima-gun, Japan
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Rahbar M. Appendix epidermoid cyst: Presenting as an acute appendicitis. Clin Case Rep 2018; 6:1321-1323. [PMID: 29988665 PMCID: PMC6028368 DOI: 10.1002/ccr3.1599] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Revised: 04/30/2018] [Accepted: 05/01/2018] [Indexed: 11/23/2022] Open
Abstract
We report a rare case of a cystic mass in an appendix in a patient who presented nausea, vomiting, and sharp pain in lower right abdomen and mimicking acute appendicitis. Although this entity is very rare, careful physical observation, imaging, and pathology can be helpful to make an accurate diagnosis.
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Affiliation(s)
- Mahtab Rahbar
- Pathology DepartmentIran University of Medical SciencesTehranIran
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Mogilevets EV, Maslakova ND, Prokopchik NI, Kachan VS. [Laparoscopic removal of epidermoid cyst of the cecum]. Khirurgiia (Mosk) 2018:112-114. [PMID: 29953110 DOI: 10.17116/hirurgia20186112-114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- E V Mogilevets
- Educational Establishment 'Grodno State Medical University', Grodno, Belarus
| | - N D Maslakova
- Educational Establishment 'Grodno State Medical University', Grodno, Belarus
| | - N I Prokopchik
- Educational Establishment 'Grodno State Medical University', Grodno, Belarus
| | - V S Kachan
- Educational Establishment 'Grodno State Medical University', Grodno, Belarus
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Lutz L, Holzner P, Neeff H. An Unusual Cecal Mass in an Otherwise Healthy Young Woman. Gastroenterology 2016; 150:e5-e6. [PMID: 27025673 DOI: 10.1053/j.gastro.2015.12.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Accepted: 12/08/2015] [Indexed: 12/02/2022]
Affiliation(s)
- Lisa Lutz
- Department of Pathology, Albert Ludwigs University Freiburg, Freiburg, Germany
| | - Philipp Holzner
- Department of General and Digestive Surgery, Albert Ludwigs University Freiburg, Freiburg, Germany
| | - Hannes Neeff
- Department of General and Digestive Surgery, Albert Ludwigs University Freiburg, Freiburg, Germany
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8
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Abstract
An epidermoid cyst of the cecum is extremely rare; only eight cases have been reported in the literature. A 63-year-old woman was admitted to Kyung Hee University Medical Center with a colonic mass that had been discovered incidentally during a regular health check-up. The radiographic impression was that this mass was a gastrointestinal stromal tumor. During surgery, an exophytic mass in the cecal wall was resected by using an ileocecectomy. Based on the macroscopic and the microscopic findings, this case was identified as an epidermoid cyst of the cecal wall. We report this case to discuss the origin of this entity and the unusual nature of our case.
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Affiliation(s)
- Jae-Young Park
- Department of Pathology, Graduate School of Medicine, Kyung Hee University, Seoul, Korea
| | - Youn Wha Kim
- Department of Pathology, Graduate School of Medicine, Kyung Hee University, Seoul, Korea
| | - Kil Yeon Lee
- Department of Surgery, Graduate School of Medicine, Kyung Hee University, Seoul, Korea
| | - Ji-Youn Sung
- Department of Pathology, Graduate School of Medicine, Kyung Hee University, Seoul, Korea
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Sahoo MR, Gowda MS, Behera SS. Unusual site and uncommon presentation of epidermoid cyst: a rare case report and review of literature. BMJ Case Rep 2013; 2013:bcr-2012-007907. [PMID: 23302551 DOI: 10.1136/bcr-2012-007907] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Epidermoid cyst of gastrointestinal tract is very rare, and only a few cases of epidermoid cyst of the caecum have been reported in the literature. We report the first case of epidermoid cyst of the caecum in an elderly man, mimicking mesenteric cyst clinically. It was treated by laparoscopic excision of the cyst. The cyst was spherical, extending from and expanding the serosal surface of the caecum with no communication through the muscularis wall. Histologically, the inner lining of the cyst was composed of benign, mature, keratinised and stratified squamous epithelium with a well-formed granular layer. On opening, the cyst contained pultaceous cheesy material. No calcification, hair, teeth or bone elements were detected.
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Affiliation(s)
- Manash Ranjan Sahoo
- Department of General Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
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Ohara Y, Oka K, Pak S, Sando N, Matsumoto T, Teshima S. A case of ovarian mature cystic teratoma presenting as a pedunculated ileal tumor. Pathol Res Pract 2006; 203:45-51. [PMID: 17101236 DOI: 10.1016/j.prp.2006.10.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2006] [Accepted: 10/11/2006] [Indexed: 12/17/2022]
Abstract
We report on a 34-year-old Japanese woman who presented with a pedunculated ileal tumor and who was finally diagnosed as having a right ovarian mature cystic teratoma penetrating and protruding into the ileum. She had undergone laparoscopic left ovarian cystectomy, whose specimen was diagnosed as dermoid cyst when she was 27 years old. The colon fiberscope revealed an ileal polyp, diagnosed as mature teratoma. Because of adhesion to the necrotic nodule between the tumor and the right ovary, ileocecal resection and right ovarian cystectomy were performed. The ileal tumor contained tissues of skin, neuroglia, ganglion, choroid, retina, smooth muscle, as well as fibrous and adipose tissues, cartilage, bone, mucous epithelium, and bronchial structures with bronchial glands. The necrotic nodule showed abscess, granulation tissue, foreign body reaction, hairs, normal ileal epithelium, and the ovary with ovums.
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Affiliation(s)
- Yusuke Ohara
- Department of Surgery, Mito Saiseikai General Hospital, Mito, Ibaraki, Japan
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Affiliation(s)
- Ali Uzunlar
- Department of Pathology, Dicle University, Diyarbakir, Turkey.
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