Ann Dermatol.  2011 Sep;23(Suppl 1):S135-S138. 10.5021/ad.2011.23.S1.S135.

Two Cases of Giant Epidermal Cyst Occurring in the Neck

Affiliations
  • 1Department of Plastic and Reconstructive, Molecular Cancer Research Center, Soonchunhyang University College of Medicine, Cheonan, Korea. mkcho2001@hanmail.net
  • 2Department of Dermatology, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 3Department of Dermatology, National Medical Center, Seoul, Korea.

Abstract

Epidermal cysts are the most common cysts of the skin. Aconventional epidermal cyst rarely reaches a size of more than 5 cm in diameter. We report on two cases of giant epidermal cyst occurring in the neck. One patient had a cyst measuring 12x9x9 cm and the other patient had a non-pulsatile, dome-shaped lesion in the neck, which measured 6x5x3 cm. The lesions were totally excised. Histopathologically, both were confirmed as giant epidermal cysts.

Keyword

Epidermal cyst; Neck

MeSH Terms

Epidermal Cyst
Humans
Neck
Skin

Figure

  • Fig. 1 (A) A 61-year-old man with a neck mass. (B) Computed tomographic scan showed a hypodense multilocular mass arrow), which measured 12×9×9 cm, extending to the tracheal area. (C) The cyst was lined by flattened, keratinized stratified squamous epithelium with typical epidermal differentiation (H&E, ×40).

  • Fig. 2 (A) A 25-year-old woman with a dome-shaped subcutaneous tumor located on the left lower neck. (B) Computed tomographic scan showed a multilocular cystic mass measuring 6×5×3 cm (arrow). The mass showed expansion toward the trachea. (C) The mass showed a keratinized squamous epithelial lining with the inner surface lined with keratin lamellas (H&E, ×40).


Reference

1. Basterzi Y, Sari A, Ayhan S. Giant epidermoid cyst on the forefoot. Dermatol Surg. 2002. 28:639–640.
Article
2. Elder DE, Elenitsas R, Johnson B Jr, Loffreda M, Miller J, Miller OF III. Atlas and synopsis of Lever's histopathology of the skin. 2008. 10th ed. Philadelphia: Lippincott Williams & Wilkins.
Article
3. Juhász G, Szócska J. Giant epidermoid cyst in the floor of the mouth. Fogorv Sz. 1979. 72:23–25.
Article
4. Shah SS, Varea EG, Farsaii A, Fernandez R, Richardson C, Schutte H. Giant epidermoid cyst of penis. Urology. 1979. 14:389–391.
Article
5. Yamamoto T, Nishikawa T, Fujii T, Mizuno K. A giant epidermoid cyst demonstrated by magnetic resonance imaging. Br J Dermatol. 2001. 144:217–218.
Article
6. Ito R, Fujiwara M, Kaneko S, Takagaki K, Nagasako R. Multilocular giant epidermal cysts. J Am Acad Dermatol. 2008. 58:5 Suppl 1. S120–S122.
Article
7. Polychronidis A, Perente S, Botaitis S, Sivridis E, Simopoulos C. Giant multilocular epidermoid cyst on the left buttock. Dermatol Surg. 2005. 31:1323–1324.
8. Fujiwara M, Nakamura Y, Ozawa T, Kitoh A, Tanaka T, Wada A, et al. Multilocular giant epidermal cyst. Br J Dermatol. 2004. 151:943–945.
9. Tampieri D, Melanson D, Ethier R. MR imaging of epidermoid cysts. AJNR Am J Neuroradiol. 1989. 10:351–356.
Article
10. Sau P, Graham JH, Helwig EB. Proliferating epithelial cysts. Clinicopathological analysis of 96 cases. J Cutan Pathol. 1995. 22:394–406.
Article
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