EPIDERMOID INCLUSION CYST OF THE PERINEUMA RARE CASE REPORT IN A 50 YEARS OLD MALE

Authors

  • Syed Asad Ali
  • S M Tahir
  • Abdul Sattar Memon
  • Adeel Abbas Dahri

Abstract

A 50 year old male presented with a history of mid line painless swelling in the perineum for last 4years. The patient’s only concern was a perineal swelling which was gradually increasing in size.Clinical examination mimics subcutaneous lipoma with soft lobulated surface with positive slip sign.The base line investigations were within normal limits. Complete surgical excision of the cystperformed. Histopathology confirmed epidermal inclusion cyst with no evidence of malignancy. Patientdischarged on next day. The follow-up visits were un-remarkable. Perineal epidermal inclusion cyst is arare entity and only few cases have been reported.Keywords: Epidermal Inclusion Cyst, Perineum, Surgical Excision

References

Takano Y, Yokokawa K, Namiki M, Okuyama A. Perineal

Epidermal Cyst. Urol Int. 1994;53(1):53–5.

Nicolaides N, Levan NE, Fu HC. The lipid pattern of the wen

(keratinous cyst of the skin). J Invest Dermatol 1968;50(2):189–94.

Broekaert D, Goeman L, Ramaekers FC, Van Muijen

GN, Eto H, Lane EB, et al. An investigation of cytokeratin

expression in skin epithelial cysts and some uncommon types of

cystic tumours using chain-specific antibodies. Arch Dermatol

Res 1990;282(6):383–91.

McGavran MH, Binnington B. Keratinous cysts of the skin.

Identification and differentiation of pilar cysts from epidermal

cysts. Arch Dermatol 1966;94(4):499–508.

Takematsu H, Terui T, Toinuki W, Tagami H. Leukocyte

chemotactic properties of soluble horny contents in epidermal

cysts. Arch Dermatol Res 1987;279(7):449–53.

Morgan MB, Stevens GL, Somach S, Tannenbaum M.

Carcinoma arising in epidermoid cyst: a case series and

aetiological investigation of human papillomavirus. Br J

Dermatol 2001;145(3):505–6.

Briggs RM, Miller FW. Pigmented nevi and epidermal cysts:

cause and effect. Plast Reconstr Surg 1968;41(5):456–61.

Maruyama T, Ueda Y, Suzuk T, Maeda N, Yoshinmoto T,

Kondoh N, Nojima M, Takiuchi H, Mori Y, Shima H, Kubota A,

Epidermoid Cyst of perineo-scrotal region: report of a case.

Hinyokika Kiyo 2004;50(12):8885–7.

Machida T, Matsuoka Y, Kobayashi S, Ozeki Z, Ishizaka K, Oka

T. A case of giant Perineal Epidermal Cyst: a case report.

Hinyokika kiyo. 2003;49(5):257–9.

Nagahama K, Sanada S, Mitani T, Yamamuro M, Suzuki T.

Giant epidermal cyst in the perineum extending into the pelvic

space in the patient with polycystic kidney disease: a case report.

Hinyokika Kiyo 2001;47(5):345–8.

Published

2009-09-01

Most read articles by the same author(s)