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Published on: March 31, 2023
Epidermoid inclusion cysts of the hand
1Department of Surgery, University of Kansas School of Medicine, Wichita 67214-3882, USA.
Insights
Epidermoid inclusion cysts are common hand tumors, second only to ganglions. This review covers their presentation, diagnosis, and treatment, likely stemming from trauma introducing epithelial cells into tissues.
Area of Science:
- Hand surgery
- Dermatopathology
- Orthopedic surgery
Background:
- Epidermoid inclusion cysts are benign tumors frequently presenting in the hand.
- They are the second most common tumefaction of the hand, after ganglions.
- Understanding their etiology and presentation is crucial for effective management.
Purpose of the Study:
- To review the clinical presentation, diagnosis, and treatment of epidermoid inclusion cysts.
- To analyze a cohort of 60 epidermoid inclusion cysts.
- To elucidate the probable pathogenesis of these lesions.
Main Methods:
- Review of 60 cases of epidermoid inclusion cysts.
- Analysis of clinical presentation, diagnostic findings, and treatment outcomes.
- Literature review on the etiology and pathology of epidermoid inclusion cysts.
Main Results:
- Epidermoid inclusion cysts are common hand lesions.
- The review details the typical clinical presentation and diagnostic features.
- Treatment strategies for these cysts are discussed.
Conclusions:
- Epidermoid inclusion cysts are likely caused by traumatic implantation of epithelial cells into subcutaneous tissue.
- These cells survive and proliferate, producing keratin.
- Accurate diagnosis and appropriate treatment are essential for managing hand tumefactions.
Abstract:
Epidermoid inclusion cysts occur second only to ganglions in terms of tumefaction presentations in the hand. This review describes 60 such lesions and reviews the clinical presentation, diagnosis, and treatment. The epidermoid inclusion cyst probably arises from some traumatic event that drives epithelial cells into the subcutaneous tissues where they survive, grow, and produce keratin.
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