Giant Epidermal Inclusion Facial Cyst

Abstract

Epidermal inclusion cyst is one of the most common subcutaneous tumors, and its size normally varies from 1 to 5 cm in diameter. Only few giant epidermal inclusion cysts have been reported in the literature, and giant epidermal cyst of the face has never been reported. An 83-year-old woman visited our hospital for a huge mass on the right side of her face extending to the temporal area, creating deformity of her right ear. The mass was 15 × 15 × 8 cm(3) with soft, cystic nature. It has developed since 20 years ago with no known etiology. Computed tomography scan was obtained for preoperative evaluation, which showed a 15 × 15 × 7-cm(3) huge, lobulated, and septated mass with no underlying bone or brain involvement. We performed complete excision sand biopsy. On histologic examination, the final diagnosis of epidermal inclusion cyst was made. Keratotic material was within the cyst, and the cystic wall was composed of lamellate keratin. Follow-up period was 10 months, and no signs of recurrence were seen. The patient was satisfied with the improvement of her facial appearance. We have observed a case of giant epidermal inclusion cyst of the face, which has never been reported, and present this case with a brief review of literature.

An Enormous Tumor in a Patient With Clinically Amyopathic Dermatomyositis

“…4 Giant EICs may be unilocular or multilocular, and they require imaging and excision for diagnosis because of their uncharacteristically large size. EICs greater than 5 cm are classified as giant EICs.…”

Epidermal inclusion cyst of the maxillofacial region

“…The size of these cysts normally varies from 1 to 5 cm in diameter. Only a few giant epidermal inclusion cysts have been reported in the literature and those of the face are even rarer [25].…”

An Unusual Case of a Recurrent Seborrheic/Epidermal Inclusion Cyst of the Maxillofacial Region

“…Only a few giant epidermal inclusion cysts have been reported in the literature and those of the face are even rarer [25].…”