Giant dermoid cyst of the neck can mimic a cystic hygroma: Using MRI to differentiate cystic neck lesions

Ro, Eric Y.; Thomas, Rebecca; Isaacson, Glenn

doi:10.1016/j.ijporl.2006.11.020

Cited by 18 publications

(12 citation statements)

References 10 publications

(13 reference statements)

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“…An intraoral nodular lesion or tongue tumor may be a dermoid cyst. A giant dermoid cyst in the neck can mimic the cystic hygroma and MRI is required for differentiation (13).…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Results in Craniofacial Dermoid Cysts: Retrospective Analysis of 29 Cases

Çolak¹,

Akçay²,

Şahin³

et al. 2019

eamr

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Dermoid cysts are developmental malformations originating from ectoderm and mesoderm. They are congenital and usually localized in the head and neck region. Their walls are covered with squamous epithelium and may contain different skin patches and tissues (multiple sebaceous glands, hair follicles, sweat glands, fat, nail, eye, teeth, cartilage). The purpose of this study was to present an approach to the masses in the head and neck region, to evaluate the relationship between preoperative imaging, final pathology and differential diagnosis, and to discuss how treatment planning should be done. Methods: In this study, 37 patients, who admitted to our clinic for masses in the head and neck region and who underwent surgery after necessary consultations and preoperative evaluation between January 2010 and July 2017 were retrospectively reviewed. Patients were evaluated in terms of age, gender, lesion size, lesion location, preoperative imaging, intracranial involvement, treatment and complications. Results: Of the 29 patients included in this study, 15 were male (51.7%) and 14 were female (48.2%). The age of the patients ranged from 1 to 28 years and the mean age was 10 years. Twenty-two of the lesions were localized on the lateral side of the eyebrows (75.8%), two on the glabella (6.8%), two in the temporal region (6.8%), one in the occipital region (3.4%), one on the forehead (3.4%), and one in the medial canthal region (3.4%). At the time of admission, all patients complained of swelling under the skin at the localization of the lesion. At least one imaging modality, primarily computed tomography, was requested to assess intracranial involvement in all patients' preoperatively. The main reason for the removal of lesions was cosmetic problems. Conclusion: Dermoid cysts are operated not only for the removal of poor cosmetic appearance, but also for the prevention of possible leakage and infection, for definite pathologic diagnosis and for prevention of secondary bone changes.

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“…An intraoral nodular lesion or tongue tumor may be a dermoid cyst. A giant dermoid cyst in the neck can mimic the cystic hygroma and MRI is required for differentiation (13).…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Results in Craniofacial Dermoid Cysts: Retrospective Analysis of 29 Cases

Çolak¹,

Akçay²,

Şahin³

et al. 2019

eamr

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“…10,11 Ultrasonografi hızlı, ucuz, ağrısız bir yöntem olmasının yanı sıra lezyonun kistik, solid, vasküler ay- rımının yapılmasını ve çevre dokular ile ilişkisinin değerlendirilmesini sağlar. [10][11][12][13] Özellikle büyük boyutlu lezyonlarda bilgisayarlı tomografi ve manyetik rezonans görüntüleme lezyonun ayırıcı tanısı, komşu yapılarla ilişkisi, karakteri ve cerrahi yaklaşımın planlanmasında yardımcı olur. [11][12][13][14] Bizim olgumuzda ultrasonografi yapılmış olup boyun derin yapıları ile kitle arasında sıkı bir ilişki olmadığı için bilgisayarlı tomografi veya manyetik rezonans görüntüleme yapılmamıştır.…”

Section: Discussionunclassified

Giant Neck Epidermoid Cyst in Submental Region

Ilhan¹,

Yaman²,

Cebeci³

et al. 2017

KBB ve BBC Dergisi

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ÖZETEpidermoid kistler derinin en sık görülen kistleridir. Dermoid ve epidermoid kistlerin baş ve boyun bölgesinde görülme sıklığı %1.6-6.9 arasında değiş-mektedir. Konjenital epidermoid kistlerin etyolojisi tam olarak aydınlatılmamıştır. En çok kabul gören teoriye göre birinci ve ikinci brankial arkusların kapanması sırasında sıkışan embriyojenik epitelyal doku artıklarından oluştuğu ileri sürülmektedir. Epidermoid kistler klinik olarak boyun orta hatta yavaş büyüyen asemptomatik kitleler olarak belirirler. Epidermoid kistler genellikle küçüktürler ve nadiren 5 cm üzerinde boyutlara ulaşırlar. Tedavisi kistin cerrahi olarak tamamen çıkartılmasıdır. Kistin ağız tabanı ile ilişkisine göre eksternal veya internal cerrahi yaklaşım seçilir. Burada, boyunda submental şiş-lik olarak ortaya çıkan dev epidermoid kist literatür eşliğinde tartışılmıştır. Anahtar Sözcükler Epidermoid kist, boyun, cerrahi ABSTRACTEpidermoid cysts are the most common skin cysts. The incidence of epidermoid and dermoid cysts range between 1.6-6.9% in head and neck region. The etiology of congenital epidermoid cysts are not fully understood. According to commonly accepted theory, they originate from embryonic remnants of epithelium that was trapped during the fusion of first and second branchial arches. Epidermoid cysts clinically appea as a slowly growing asymptomatic masses at the midline of the neck. They are usually small and rarely reach above 5 cm in size. Treatment of epidermoid cyst is total surgical excision. The surgical approach is choose as an external or internal one according to relationship of the cyst with the floor of the mouth. Herein, a giant epidermoid cyst emerged as a submental swelling in the neck is discussed in the light of the literature.

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“…Subcutaneous cysts are generally classified as dermoid, epidermoid, or trichilemmal. Most commonly found in the head and neck, dermoid cysts are benign, usually well circumscribed, and often fluctuant to firm masses (3–5). These lesions result from epithelium trapped during embryologic fetal midline closure, with the prevalence being roughly equal in boys and girls, and are usually diagnosed by age 3 years (5–7).…”

Section: Discussionmentioning

confidence: 99%

“…This, along with the presence of other endodermal or ectodermal elements such as hair and pilosebaceous and eccrine glands, is responsible for the fluid‐filled center (6,7). Evaluation includes a thorough history and physical examination to delineate these structures from other similarly presenting masses such as vascular and lymphatic malformations; hemangiomas of infancy; branchial, thyroglossal, or foregut cysts; teratomas; or less likely, malignant tumors, which may require a different therapeutic approach (4,5). Imaging with ultrasound or MRI with contrast is often indicated, with the latter being more sensitive for diagnosis and extent of the lesion (4,8).…”

Section: Discussionmentioning

confidence: 99%

“…Evaluation includes a thorough history and physical examination to delineate these structures from other similarly presenting masses such as vascular and lymphatic malformations; hemangiomas of infancy; branchial, thyroglossal, or foregut cysts; teratomas; or less likely, malignant tumors, which may require a different therapeutic approach (4,5). Imaging with ultrasound or MRI with contrast is often indicated, with the latter being more sensitive for diagnosis and extent of the lesion (4,8). Because thyroglossal and dermoid cysts occur commonly over the cervical midline, in cases in which the mass appears to be inflamed, fine‐needle aspiration (FNA) may aid in distinguishing a ruptured dermoid cyst, which tends to be filled with thick fluid, from an infected thyroglossal cyst (4,8,9).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Presternal Dermoid Cyst Mimicking Lymphatic Malformation: a Case Report and Review of the Literature

Berry

Shetty

Delu

et al. 2012

Pediatric Dermatology

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We describe an 11-month-old boy with an unusually large presternal mass present since birth. The large size, fluctuant properties, transillumination, compressibility, and imaging of this lesion were characteristic of a lymphatic malformation. Although four treatments with sclerotherapy markedly reduced its size, it was not until definitive treatment with surgical excision and the final pathology report that we arrived at the ultimate diagnosis of dermoid cyst. Dermoid cysts, although appearing along embryologic lines of closure, are rarely presternal. They are usually small, thick walled, and filled with sebaceous or keratinous fluid, which typically allows for clinical diagnosis, and show characteristic features on magnetic resonance imaging (MRI) and ultrasound. However, this case illustrates that dermoid cysts can appear in somewhat atypical locations, and imaging is not always diagnostic, so dermoid cyst should remain a part of the differential diagnosis for any lesion presenting midsternally, regardless of the size and imaging characteristics.

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Giant dermoid cyst of the neck can mimic a cystic hygroma: Using MRI to differentiate cystic neck lesions

Cited by 18 publications

References 10 publications

Surgical Treatment Results in Craniofacial Dermoid Cysts: Retrospective Analysis of 29 Cases

Surgical Treatment Results in Craniofacial Dermoid Cysts: Retrospective Analysis of 29 Cases

Giant Neck Epidermoid Cyst in Submental Region

Presternal Dermoid Cyst Mimicking Lymphatic Malformation: a Case Report and Review of the Literature

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