Giant Epidermoid Cyst of the Posterior Neck

Kim, Cheesun; Park, Myong Chul; Seo, Seung Jo; Yoo, Young Moon; Jang, Yu Jin; Lee, Il Jae

doi:10.1097/scs.0b013e318210b925

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…Of the 19 articles ultimately included, 36 total patients with posterior neck masses were represented. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The collective pathologies were as follows: 15 lipomas, 10 nuchal fibromas, 3 schwannomas, 2 epidermal inclusion cysts, 1 lipoblastoma, 1 hemangioma, 1 leiomyoma, 1 lymphangioma, 1 benign meningioma, and 1 malignant meningioma (Figure 3). As such, 35 (97%) of the 36 reported masses represented benign disease.…”

Section: Systematic Review Resultsmentioning

confidence: 99%

Characterizing Posterior Neck Masses: A Single-Institution Retrospective and Systematic Review

et al. 2019

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Objective: Posterior neck masses are a relatively poorly characterized entity. The authors attempt to further characterize the anatomy and pathology of the posterior neck by way of a combined single-institution retrospective chart review and systematic review of the literature. Methods: A single-institution retrospective chart review was undertaken for all patients undergoing excision of a posterior neck mass between January 1, 2012, and January 1, 2017. A systematic review of the Medline, Embase, Web of Science, and Cochrane database was undertaken in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines in search of case reports and series describing posterior neck masses. Results: A total of 28 patients who underwent excision of a posterior neck mass were encountered during the retrospective chart review. All pathologies were benign, the most prevalent of which was lipoma (22/28, 79%). A total of 19 articles describing a collective 36 posterior neck masses were encountered during the systematic review. Lipomas were the most common pathology (15/36, 42%). All but one of the masses reported were benign (35/36, 97%). Conclusions: Patients presenting with posterior neck masses can be reassured of a low risk of malignancy. The majority of posterior neck masses can be appropriately evaluated via physical examination and ultrasound.

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Section: Systematic Review Resultsmentioning

confidence: 99%

Characterizing Posterior Neck Masses: A Single-Institution Retrospective and Systematic Review

et al. 2019

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“…Multiple case reports show rare descriptions of giant epidermal cysts of the face, neck, scalp, presternal area, buttocks, penis, and forefoot 1 – 6 . Baek et al .…”

Section: Discussionmentioning

confidence: 99%

Epidermal cyst protruding from the occipital region of the scalp: a case report

Dahal,

Gupta,

Malla

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction and Importance: Epidermal cysts are the most common subcutaneous tumour typically observed on the scalp, face, neck, back, or trunk. Epidermal cysts conventionally range in size from 1 to 5 cm, with sizes greater than 5 cm rarely reported. Case Presentation: Here, we present a case of 58-year-old Female housewife who presented to our surgery out-patient department (OPD) with a history of mass in the left occipital region. The mass was first noticed 3 years back and was small and associated with mild itching. The mass progressively increased in size over the course of 3 years. Her present complaint was painful mass associated with itching, headache and pus discharge when compressed. The pain was relieved on taking medication. Clinical Discussion: Epidermal cyst was confirmed on biopsy and subsequent excision of cyst was done under general anesthesia; occipital bone was eroded by the inferior part of the cyst. Reconstruction of scalp defect done by rotational scalp flap. Conclusion: Epidermal cysts, being a slow growing benign tumour, can pose diagnostic difficulties, especially when located in the scalp area. In addition to that when cranial bones and intracranial structures are affected by the cyst they can even lead to complications and interventional difficulties.

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“…Cysts on the acral surfaces of the skin are considered to arise from the implantation of epidermis into the dermis through trauma. These cysts usually grow through the accumulation of epithelial and keratinous debris (3,4). However, an epidermal cyst with a diameter ≥5 cm is rare.…”

Section: Discussionmentioning

confidence: 99%

“…Firstly, they are easy to rupture and this may induce infection. Secondly, giant epidermal cysts may compress adjacent organs, including major arteries, veins and nerves (2,4). Furthermore, giant masses may cause cosmetic problems due to the high visibility of the head and neck.…”

Section: Discussionmentioning

confidence: 99%

Giant epidermal cyst in the posterior neck developing over 40 years: A case report

Park

Kim

2013

Experimental and Therapeutic Medicine

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Conventional epidermal cysts are generally small, slow-growing, non-tender, dome-shaped lesions. An epidermal cyst is usually asymptomatic until it is infected or enlarged to the extent that it causes damage to adjacent anatomical structures. However, few cases of giant epidermal cysts in the neck have been reported. The present case reports a giant epidermal cyst in the posterior neck, which grew to an extremely large size for >40 years without inflammation or rupture, and was misdiagnosed as a large soft tissue neoplasm. The patient exhibited depression and developed social anxiety due to the negative cosmetic consequences of the large mass. The patient underwent excision of the mass. At the follow-up examination two years postoperatively, there were no local recurrence and the psychiatric symptoms of the patient were completely resolved. To the best of our knowledge, a giant epidermal cyst growing for >40 years has not previously been reported.

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Giant Epidermoid Cyst of the Posterior Neck

Cited by 4 publications

References 6 publications

Characterizing Posterior Neck Masses: A Single-Institution Retrospective and Systematic Review

Characterizing Posterior Neck Masses: A Single-Institution Retrospective and Systematic Review

Epidermal cyst protruding from the occipital region of the scalp: a case report

Giant epidermal cyst in the posterior neck developing over 40 years: A case report

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