Epidermoid Cysts in Head and Neck: Our Experiences, with Review of Literature (original) (raw)

Epidermoid Cysts of Head and Neck Region: Case Series and Review of Literature

International journal of odontostomatology, 2014

Epidermoid and dermoid cysts are hamartomas localized on the neck, head, or trunk, usually visible at birth. In some instances, careful medical examination may help to find most epidermoid and dermoid cysts. Ambiguity about their exact pathogenesis exists and dysontogenetic, traumatic, and thyroglossal anomaly theories have been postulated. Histopathologically epidermoid cysts have a cystic capsule lined with thin stratified epithelium. Surgical excision though completes the treatment, complications have been reported. We report three cases of epidermoid cyst on the maxillofacial region.

Epidermoid and dermoid cysts of the head and neck region

Plastic and Aesthetic Research, 2016

Epidermoid cysts, dermoid cysts and teratoid cysts are cystic malformations lined with squamous epithelium. They present as soft nodular lesions with a sessile base. Their prevalence is 7% in head and neck patients and 1.6% within the oral cavity. The authors present a case series of 21 patients with dermoid and epidermoid cysts who underwent surgical removal. One year of follow-up was carried out without evidence of recurrence. The removal of these cysts is of great concern as it can cause serious social stigma, aesthetic and functional impairment, dysphagia and dysphonia. ABSTRACT Article history:

Epidermoid cyst: a case report and review of literature

Pan African Medical Journal, 2016

Epidermoid cysts are quite rare in the head and neck region. They present as an asymptomatic swelling. The differential diagnosis of these lesions include dermoid cyst, milia, pilar cyst, etc. Although benign they need to be treated as soon as a possible as they can cause disfigurement of the head and neck region. We report a case of epidermoid cyst in the middle face region which was surgically treated.

Epidermoid cyst: Report of two cases

Journal of Oral and Maxillofacial Pathology, 2016

Epidermoid cysts (ECs) are uncommon, benign cystic lesions derived from the entrapment of surface epithelium or more often from the aberrant healing of infundibular epithelium during an episode of follicular inflammation. ECs occur anywhere on the body, particularly along embryonic fusion lines, most commonly on the face, scalp, neck, chest and upper back. Head and neck ECs constitute only about 7%, whereas only 1.6% of ECs are reported in the oral cavity. They comprise <0.01% of all the oral cysts. Floor of the mouth, tongue, lips, palate, jaws, etc., are some of the reported sites of ECs in the oral cavity. However, gingival ECs are infrequently reported. In a case series of ECs by Ravindranath et al., out of 13 cases, only 3 occurred in the gingiva (2 in the left posterior and 1 in the right posterior mandibular gingiva). To the best of our knowledge, this is the fourth case report of EC in the region of gingiva in English literature. Clinically, they present as slow-growing, painless, fluctuant masses often detected during the second or third decade of life. Rarely, they cause functional interference; however, size and location of the cyst are being considered as prime concern for seeking the expert opinion. Microscopically, ECs are lined with plain stratified squamous epithelium filled with laminated layers of keratin. CASE REPORTS Case report 1 A 28-year-old male patient reported to the clinic with a swelling in the posterior lingual aspect of gingiva of 34, 35 and 36 regions for 1 year. It was asymptomatic which gradually increased to the present size. Medical/dental history Epidermoid cysts (ECs) are uncommon, benign cystic lesions derived from the entrapment of surface epithelium or more often from the aberrant healing of infundibular epithelium during an episode of follicular inflammation. ECs occur anywhere on the body, particularly along embryonic fusion lines, most commonly on the face, scalp, neck, chest and upper back. Head and neck ECs constitute only about 7%, whereas only 1.6% of ECs are reported in the oral cavity. They comprise <0.01% of all the oral cysts. Floor of the mouth, tongue, lips, palate, jaws, etc., are some of the reported sites of ECs in the oral cavity. Microscopically, ECs are lined with plain stratified squamous epithelium filled with laminated layers of keratin. Here, we report two rare cases of ECs, one occurring in the gingival aspect and other in the lower third of face. The cases are reported due to rarity of ECs in the head and neck region.

Epidermoid cysts: an exclusive palatal presentation and a case series

International Journal of Dermatology, 2009

Background Epidermoid cysts (EC) can occur anywhere in the body. In the head and neck region, they more often present in the midline between the submental region and the supra sternal notch. EC in the oral cavity are extremely rare and present as benign, slow growing lesions.

Malignant Changes in Twin Epidermoid Cysts in Neck: A Rare Case Report

Otolaryngology online journal, 2017

A 28 years old male, without any significant previous medical history, presented with a swelling in left sub-mandibular region and upper part of left side of neck.3 The duration of the lesion was 7 months with no previous history of any trauma or surgery. Examination revealed a firm, mobile mass in left sub-mandibular region which measured 3.5 cm in diameter and other swelling in upper part of neck on left side measuring 1.5 cm in diameter (Figure 1).

Intraosseous Epidermoid Cyst: a Case Report

Journal of Oral and Maxillofacial Research, 2022

Background: Epidermoid cysts are benign lesions that occur throughout the body. Their development in the oral cavity is extremely rare. Intraosseous epidermoid cysts of the jaw are even rarer and difficult to distinguish from other lesions. For this reason, we would like to draw the attention of practitioners to this pathology as a differential diagnosis through the presented clinical case. Methods: This study presents an unusual case of a type of epidermoid cyst in an edentulous maxilla. A 70-year-old man was referred to the Maxillofacial Surgery Division at the University Multiprofile Hospital for Active Treatment and Emergency Medicine "N. I. Pirogov", Sofia, Bulgaria, for a single radiolucent area in his anterior maxilla. The patient underwent surgery to extract the cyst. Results: Based on the clinical and radiographic evaluation, a preliminary diagnosis of dentigerous residual cyst was made. The histopathological examination of the hematoxylin and eosin stained sections revealed an epidermoid cyst based on the observed thick keratin layer resembling epidermis together with the stratified squamous epithelium lining with many layers of sheaves of orthokeratin. Conclusions: This report presents an uncommon case of an intraosseous epidermoid cyst occurring without a history of maxillary trauma. Although intraosseous epidermoid cysts are extremely rare in jaws, they should be considered in the differential diagnosis of radiolucent lesions.

Unusual sites of dermoid cysts

International Journal of Otorhinolaryngology and Head and Neck Surgery

Background: Epidermoids are ectoderm lined inclusion cysts which can be present anywhere in the body, but are rare in head and neck. Although only 7% of the dermoid cysts occur in head and neck region they are a part of differential diagnosis of neck swellings. They are more common in midline. This study presents to you the dermoids which present in unusual sites.Methods: It was a descriptive study. Cases which were proven as dermoid or epidermoid cysts by FNAC or by histopathology were included in this study. Results: Male patients were more affected than female patients.Conclusions: Complete removal should be carried out to prevent recurrence.