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Giant epidermal inclusion facial cyst.
Sang-Oon Baek1, Sang-Wha Kim, Sung-No Jung
1Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Uijongbu, Korea.
The Journal of Craniofacial Surgery
|May 19, 2011
Summary
This report details a rare case of a giant epidermal inclusion cyst on a patient's face, measuring 15 cm. Surgical removal was successful, with no recurrence observed during follow-up.
Area of Science:
- Dermatology
- Surgical Pathology
- Oncology
Background:
- Epidermal inclusion cysts are common subcutaneous tumors, typically 1-5 cm.
- Giant epidermal inclusion cysts are exceptionally rare, with none previously reported on the face.
Observation:
- An 83-year-old woman presented with a massive 15x15x8 cm facial mass.
- The lesion, present for 20 years, caused significant facial deformity and ear distortion.
- CT scan revealed a large, lobulated, septated mass without bone or brain invasion.
Findings:
- Histological examination confirmed the diagnosis of an epidermal inclusion cyst.
- The cyst contained keratotic material and had a lamellated keratin wall.
- Complete surgical excision was performed, with no recurrence after 10 months.
Implications:
- This case represents the first reported instance of a giant epidermal inclusion cyst on the face.
- Highlights the potential for significant growth of epidermal inclusion cysts.
- Successful surgical management offers cosmetic improvement and disease control.
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