An unusual case of a recurrent seborrheic/epidermal inclusion cyst of the maxillofacial region

Posttraumatic Epidermoid Inclusion Cyst Following Untreated Orbital-Zygomaticomaxillary Fracture: Case Report

Timely and comprehensive treatment of craniofacial injuries is essential, as complications may arise, including epidermoid inclusion cysts. We hereby present a case of an orbital epidermoid cyst that developed a year after a patient was involved in a motor vehicle accident and sustained facial injuries that remained untreated.

Implantation dermoid cyst post cochlear implantation: an unusual complication

Epidermal inclusion cysts are benign epithelial tumours that can occur in any part of the body. It can be primary or secondary to trauma or surgery that leads to the implantation of the epidermal elements into dermis and subcutaneous tissue forming a benign cyst. There is paucity of literature reporting postauricular epidermal inclusion cysts following a cochlear implant surgery with the functioning implant in situ. We are reporting such a case of postauricular implantation dermoid following cochlear implant surgery, which was successfully managed surgically at our centre without compromising the functioning cochlear implant.

Clinicopathologic analysis of oral dermoid and epidermoid cysts: a Brazilian multicenter study

Dermoid cysts (DCs) and epidermoid cysts (ECs) are uncommon developmental cysts affecting the oral cavity. This study aims to evaluate patients with oral DCs and ECs and their demographic and clinicopathologic features. A retrospective descriptive cross-sectional study was performed. A total of 105,077 biopsy records of oral and maxillofacial lesions from seven Brazilian oral pathology centers were analyzed. All cases diagnosed as oral DCs and ECs were reviewed, and clinical, demographic, and histopathological data were collected. The series comprised 32 DCs (31.4%) and 70 ECs (68.6%). Most of the DCs occurred on the floor of the mouth (n = 14; 45.2%) of women (n = 17; 53.1%) with a mean age of 34.6 ± 21.6 years. All DCs were lined partially or entirely by stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were observed in the fibrous capsule . Most of the ECs affected the labial mucosa (n = 20; 31.7%) of men (n = 39; 56.5%) with a mean age of 48.0±19.8 years. Microscopically, most ECs (n = 68; 97.1%) were lined entirely by stratified squamous epithelium. Two cysts (2.9%) showed areas of respiratory metaplasia. Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were also observed in the fibrous capsule. Conservative surgical excision was the treatment of choice in all cases. Oral DCs and ECs are uncommon and often clinically misdiagnosed lesions. Clinicians should consider DCs and ECs in the differential diagnosis of soft tissue lesions in the oral cavity, mainly located on the floor of the mouth and labial mucosa.

Epidermoid cyst of the facial skin: an investigative case report

Orofacial epidermoid cysts are rare entities that present as encapsulated, subepidermal painless masses, usually slow growing and asymptomatic. They are mostly limited to the floor of the mouth, tongue, lips, palate or jaws. Herein, we present an atypical case of epidermoid cyst originating from the left cheek facial epidermis in a 27-year-old male patient. The cyst presented as a swelling that was slowly progressing in size since the past 1 year with no discharge. Complete excision of the mass was done, and the cyst cavity was found to be filled with a cheesy-white, granular, semi-solid proteinaceous exudate which completely occluded the punctum. The patient post-operatively revealed persistent mechanical trauma due to incorrect workplace habits he developed, which led to the formation of the epidermoid cyst. Patient education was done and was advised to use proper workplace instrumentation.

Large inflamed facial cysts in teenagers

BACKGROUND

Facial cysts can become large (1-5 cm) or giant (>5 cm) on the face.

OBJECTIVE

To describe the medical course of large and giant facial cysts in adolescents.

METHODS

A case series of 11 patients with large or giant facial cysts seen in an outpatient pediatric dermatology practice.

RESULTS

Seven patients underwent incision and drainage with culture of cyst contents growing Cutibacterium acnes in six, while the seventh grew Cutibacterium acnes from a frequently worn hat. All patients were treated with traditional therapeutics for cystic acne including intralesional triamcinolone (n = 9), oral antibiotics (n = 10), and isotretinoin (n = 1). Three patients who did not undergo cyst drainage had persistent symptomatology requiring cyst excision, whereas the seven patients whose cysts were drained (3 on initial management and 4 after recurrence) eventually had complete healing without need for surgery.

CONCLUSION

Incision and drainage (I & D) and culture of cyst contents can identify cases of cysts related to Cutibacterium acnes. For some cases of large facial cysts related to Cutibacterium acne, I&D combined with conservative acne management (using standard acne guidelines) can prevent the need for surgical excision in some patients. Prospective studies are needed to determine whether this combination of therapy leads to best outcomes clinically and cosmetically.

Epidermal Cyst in the Scrotum Successfully Treated while Preserving the Testis: A Case Report

A 66-year-old male was referred to our hospital for further examination of a scrotal mass. Because of the risk of testicular cancer, we first clamped the vessels as a course of higher orchiectomy. Then, we approached the tumor through the scrotum and successfully resected it while preserving the testis. A histopathological diagnosis revealed an epidermal cyst. We herein report a rare case of an intrascrotal epidermal cyst successfully treated while preserving the testis.