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Epidermal cyst with ossification: a patient report.
Hiroyuki Goto1, Koji Adachi1, Yuichi Yoshida1
1Division of Dermatology, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8504, Japan.
Epidermal cysts, common skin tumors, rarely ossify. This case highlights focal ossification near an epidermal cyst, suggesting chronic inflammation as a potential cause.
Area of Science:
- Dermatology
- Pathology
Background:
- Epidermal cysts are benign skin neoplasms originating from hair follicles.
- Ossification within or around epidermal cysts is an exceptionally rare phenomenon.
Purpose of the Study:
- To report a rare case of epidermal cyst with associated ossification.
- To discuss the potential mechanism and diagnostic implications of this finding.
Main Methods:
- Clinical presentation of a 68-year-old male with multiple cutaneous cysts.
- Histopathological examination of excised cysts.
- Analysis of the cyst wall and surrounding tissue for ossification.
Main Results:
- Histopathology confirmed epidermal cysts on the forehead, cheek, and shoulder.
- Focal ossification was identified adjacent to the epidermal cyst on the forehead.
- No other neoplastic or inflammatory conditions were noted in the vicinity.
Conclusions:
- Epidermal cysts can rarely exhibit ossification, particularly in the context of chronic inflammation.
- This case expands the differential diagnosis for cutaneous ossified lesions.
- Consider epidermal cysts in the differential diagnosis of ossified cysts.
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