Multiple widespread epidermal cysts of the skin: an unusual presentation

 

 

 

 

 

 

 

 

 

DOI: http://dx.doi.org/10.15570/actaapa.2016.6

Güneşten Koruyucular ve D Vitamini / Sunscreens and Vitamin D

http://www.dermatoz.org/2016/2/dermatoz16072d2.pdf

Sebaceous carcinoma of the forehead: Case report

 

A GIANT PERINEAL NEVUS LIPOMATOSUS SUPERFICIALIS: CASE REPORT

European Medical, Health and Pharmaceutical Journal

             Central Bohemia University

 

 

A GIANT PERINEAL NEVUS LIPOMATOSUS SUPERFICIALIS: CASE REPORT

 

Funda Tamer, Mehmet Eren Yuksel

Abstract

Nevus lipomatosus superficialis is a rare hamartomatous malformation which is composed of ectopic adipocytes in the dermis. It was first reported in 1921 by Hoffmann and Zurhelle. Two clinical forms of nevus lipomatosus superficialis have been described: classical (multiple) and solitary. Classical form of nevus lipomatosus superficialis is usually found on pelvic girdle, trunk, buttocks and thighs as soft, skin colored papules or nodules. It is usually present at birth or it appears in the first two decades of life. The solitary form of lipomatosus superficialis appears as a solitary papule or nodule on the back, scalp and arms of the patients with late onset. The lesions are usually asymptomatic, however some patients may complain about pain and itching. Malignant transformation of nevus lipomatosis superficialis has not been reported yet. Therefore, surgical intervention is only necessary for the patients who have cosmetic concerns. Recurrence after surgical removal is very rare. Perineum is an uncommon localization for nevus lipomatosus superficialis. Hereby, we report a 55-year-old Caucasian female with a 6x5,5x4 cm mass in the perineal region. The patient had cosmetic concerns, therefore she wanted the lesion to be removed surgically. The lesion was surgically removed. The histopathological evaluation of the specimen revealed nevus lipomatosus superficialis. A solitary type of giant nevus lipomatosus superficialis in the perineal region of a patient over the age of 50 is a very rare condition. Even rarely seen, nevus lipomatosus superficialis should be kept in mind in the differential diagnosis of perineal masses.

 

Keywords

Nevus lipomatosus superficialis, Perineum, Surgical excision

 

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References

Ekmekçi, T. R., Köşlü, A., & Sakız, D. (2003). Dev nevus lipomatozus süperfisiyalis olgusu. Turkderm-Arch of Turk Dermatol Venereol, 38, 140-142.
Uncu, S., Bahadır, S., Yaylı, S., Alpay, K., Aykanat D., & Çobanoğlu, Ü. (2005). Nevus lipomatozis süperfisiyalis: Olgu sunumu. Türkiye Klinikleri J Dermatol, 15, 31-33.
Das, D., Das, A., Bandyopadhyay, A., & Kumar, D. (2015). Huge nevus lipomatosus cutaneous superficialis on back: An unusual presentation. Indian J Dermatol, 60(3), 296-297.
Avhad, G., & Jerajani, H. (2013). Nevus lipomatosus cutaneous superficialis. Indian Dermatol Online J, 4(4), 376-377.
Ekmekçi, R., Köşlü, A., Özeren, M., & Ayabakan, Ö. (2005). Ayak tabanı yerleşimli bir nevus lipomatozus süperfisiyalis vakası. İstanbul Tıp Dergisi, 3, 29-30.
Goucha, S., Khaled, A., Zéglaoui, F., Rammeh, S., Zermani, R., & Fazaa B. (2011). Nevus lipomatosus cutaneous superficialis: Report of eight cases. Dermatol Ther (Heidelb), 1(2), 25-30.
Yap, F. B. B. (2009). Nevus lipomatosus superficialis. Singapore Med J, 50(5), e161-e162.
Dhamija, A., Meherda, A., D'Souza, P., & Meena, R. S. (2012). Nevus lipomatosus cutaneous superficialis: An unusual presentation. Indian Dermatol Online J, 3(3), 196-198.
Kim, Y. J., Choi, J. H., Kim, H., Nam, S. H., & Choi, Y. W. (2012). Recurrence of Nevus Lipomatosus Cutaneous Superficialis after CO(2) Laser Treatment. Arch Plast Surg, 39(6), 671-673.
Patil, S. B., Narchal, S., Paricharak, M., & More, S. (2014). Nevus lipomatosus cutaneous superficialis: a rare case report. Iran J Med Sci, 39(3), 304-307.

  DOI: http://dx.doi.org/10.12955/emhpj.v8i2.670

SURGICAL REMOVAL OF THE EPIDERMAL INCLUSION CYSTS WITH SQUEEZE TECHNIQUE: CASE REPORT

European Medical, Health and Pharmaceutical Journal

            Central Bohemia University

 

SURGICAL REMOVAL OF THE EPIDERMAL INCLUSION CYSTS WITH SQUEEZE TECHNIQUE: CASE REPORT

Mehmet Eren Yuksel, Funda Tamer
 

Abstract

Epidermal inclusion cysts are common benign cutaneous cysts which arise from hair follicles. These cysts usually present as asymptomatic, small, smooth, firm, round, slow growing swellings on hair bearing areas such as scalp, face, neck and trunk. Epidermal inclusion cysts are easily diagnosed by their clinical features. However, trichilemmal cyst, dermoid cyst, neurofibroma, hemangioma, lipoma and liposarcoma should also be kept in mind in differential diagnosis of cutaneous cystic lesions. As malignant transformation of epidermal inclusion cysts has been reported, histopathological evaluation of epidermal inclusion cysts is mandatory in order to rule out malignancy. Moreover, giant epidermal inclusion cysts with ulceration, rapid growth, resistance to treatment, recurrence and fistula drainage may have malignant potential. Therefore, epidermal cysts should be surgically removed. There are several different types of surgical techniques to remove cutaneous cysts. A proper surgical technique should facilitate the complete removal of the cyst wall to prevent recurrence. In addition, it should provide minimal scarring and a low wound infection rate. Epidermal inclusion cysts can be easily removed surgically with squeeze technique. In this technique, the cyst is squeezed out through a small incision using both index fingers. Thus, the cyst is not ruptured. The squeeze technique allows the cyst capsule to remain intact. Therefore, the risk of wound infection, recurrence and scar formation is minimized. Hereby, we present a 48-year-old male with multiple epidermal inclusion cysts on the scalp treated surgically with squeeze technique.
 

Keywords

Epidermal inclusion cyst, Squeeze technique, Surgery
 

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References

Antón-Badiola, I., San Miguel-Fraile, P., Peteiro-Cancelo, A., & Ortiz-Rey, J. A. (2010). Squamous cell carcinoma arising on an epidermal inclusion cyst: a case presentation and review of the literature. Actas Dermosifiliogr, 101, 349-53.
Baek, S. O., Kim, S. W., Jung, S. N., Sohn, W. I., & Kwon, H. (2011). Giant epidermal inclusion facial cyst. J Craniofac Surg, 22, 1149-1151.
Durai, R. (2009). Squeeze eversion of small sebaceous cyst-novel technique to prevent rupture during excision. The Internet Journal of Surgery, 20.
Feng, C. J., & Ma, H. (2015). Treatment of epidermal cysts with erbium: YAG laser fenestration: an alternative to surgical intervention. Ann Plast Surg, 74, Suppl 2, S89-92.
Hayes, M. (Ed). (2014). Cysts and lipoma. In: Practical Skin Cancer Surgery, pp 223-232. Marrickville, Elsevier.
Horoz, U., Eryılmaz, T., Özakpınar, H. R., & Tellioğlu, A. T. (2012). Parmak pulpasında epidermal inklüzyon kisti: Geç fark edilen bir olgu. Turk Plast Surg, 20, 43-44.
Hwang, D. Y., Yim, Y. M., Kwon, H., & Jung, S. N. (2008). Multiple huge epidermal inclusion cysts mistaken as neurofibromatosis. J Craniofac Surg, 19, 1683-1686.
Ikizoglu, G., Kaya, T. I., Tursen, U., & Baz, K. (2003). The use of the freer dissector for the removal of trichilemmal cysts. Int J Dermatol, 42, 405-407.
Makhija, M. (2014). Epidermal inclusion cyst embedded in a recurrent benign fibrous histiocytoma. Indian J Dermatol, 59, 490-491.
Mehrabi, D., Leonhardt, J. M., & Brodell, R. T. (2002). Removal of keratinous and pilar cysts with the punch incision technique: analysis of surgical outcomes. Dermatol Surg, 28, 673-677.
Mote, D. G., & Shukla, A. A. (2011). Epidermal inclusion cyst masquerading breast lump. Indian J Surg, 73, 458-459.
Ramakrishnan, K. (2002). Techniques and tips for lipoma excision. Am Fam Physician, 66, 1405-1406.
Shalom, A., Persitz, A., & Westreich, M. (2012). A surgical technique for excision of epidermal cysts. Dermatol Surg, 38, 1856-1858.
Song, S. W., Burm, J. S., Yang, W. Y., & Kang , S. Y. (2014). Minimally invasive excision of epidermal cysts through a small hole made by a CO2 laser. Arch Plast Surg, 41, 85-88.

  DOI: http://dx.doi.org/10.12955/emhpj.v8i2.669

Superficial Acral Fibromyxoma: Case Report

Superficial Acral Fibromyxoma: Case Report

 

Funda Tamer* MD, Mehmet Eren Yüksel, MD

 

Address: * Malazgirt State Hospital, Department of Dermatology, Muş, Turkey, Devrek State Hospital, Department of General Surgery, Zonguldak, Turkey

* Corresponding Author: Dr. Funda Tamer, Malazgirt State Hospital, Department of Dermatology, Muş, Turkey. E-mail: fundatmr@yahoo.com

 

Case Report DOI: 10.6003/jtad.1594c7

 

Published:

J Turk Acad Dermatol 2015; 9 (4): 1594c7

This article is available from: http://www.jtad.org/2015/4/jtad1594c7.pdf

 

Keywords: Fibromyxoma, acral, soft tissue, tumor

Abstract

Observation: Superficial acral fibromyxoma is a rare, benign, soft tissue tumor which usually affects the acral sites of hands and feet. It presents clinically as a slow enlarging solitary nodular mass. Hereby, we present a 44-year-old Caucasian female patient with a superficial acral fibromyxoma on the finger. The patient complained of a painful swelling on the middle finger of her right hand. The lesion was surgically removed for further histopathological evaluation. The histopathological evaluation of the specimen revealed fibromyxoma. Although superficial acral fibromyxoma is a rare entity in daily clinical practice, it should be kept in mind in the differential diagnosis of slow growing tumors of the periungual and subungual sites.

Multiple Giant Trichilemmal Cysts of the Head: Case Report