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Introdução: Os arcos branquiais são os precursores embriológicos da face, pescoço e faringe. As anomalias dos arcos branquiais são a segunda lesão congênita mais comum de cabeça e pescoço em crianças. Entre essas anomalias, estão os cistos de arcos branquiais (BCC), que surgem devido a uma incorreta obliteração das fendas branquiais, ainda no período embrionário. Os BCC podem ser assintomáticos, apenas percebidos incidentalmente, e não se manifestar até a idade adulta. Resultados: Anomalias do segundo arco branquial devem ser consideradas como um dos possíveis diagnósticos diferenciais de massas cervicais, especialmente as que se manifestam como um abaulamento em região lateral do pescoço. Os BCC são formações de revestimento epitelial, sem aberturas externas. Após seu diagnóstico, o tratamento é cirúrgico, usualmente por meio de uma incisão cervical transversa e cuidadosa dissecação das estruturas, com o objetivo de extirpar toda a lesão. Conclusão: O método descrito, de excisão da lesão, por meio de incisão transversa em região cervical, dissecção tecidual por planos e ressecção de massa cística, é uma opção para o tratamento dessa deformidade, com adequado resultado estético e boa reprodutibilidade.
Introduction: The branchial arches are the embryological precursors of the face, neck, and pharynx. Branchial arch anomalies are the second most common congenital head and neck lesions in children. Among these anomalies are branchial arch cysts (BCC), which arise due to incorrect obliteration of the branchial slits, still in the embryonic period. BCCs may be asymptomatic, only noticed incidentally, and not manifest until adulthood. Results: Anomalies of the second branchial arch should be considered as one of the possible differential diagnoses of neck masses, especially those that manifest as a bulge in the lateral region of the neck. BCCs are epithelial lining formations without external openings. After diagnosis, treatment is surgical, usually through a transverse cervical incision and careful dissection of the structures, with the aim of extirpating the entire lesion. Conclusion: The method described of excision of the lesion through a transverse incision in the cervical region, tissue dissection in planes, and resection of the cystic mass is an option for the treatment of this deformity, with adequate aesthetic results and good reproducibility.
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Epidermoid cysts are commonly called as sebaceous cysts that mostly occur in the subcutaneous plain. Giant epidermoid cysts are rare and generally greater than 5 cm in size. Few cases of malignant transformation of the sebaceous cysts have also been reported in literature.
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A sebaceous cyst is a retention cyst. The classical management of scrotal sebaceous cysts is complete surgical excision and in the current era and as expected from the patient from the doctor and as the duty of the doctor, excellent outcome, minimal morbidity with good cosmetic results.
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São descritos os aspectos clínico-patológicos de cistos epidermais em quatro ovinos, com idade entre dois e 12 anos, oriundos da região central do Rio Grande do Sul, Brasil. Três desses ovinos apresentavam múltiplos nódulos cutâneos, distribuídos aleatoriamente pelo corpo, e um ovino apresentava nódulo cutâneo solitário na região cervical. O período entre o aparecimento do primeiro nódulo e o surgimento de múltiplos nódulos foi de oito meses, em um caso, e um ano, em dois casos. Os quatro ovinos eram os únicos animais afetados em seus respectivos rebanhos. Os nódulos cutâneos eram redondos ou ovais, salientes, flutuantes, não pruriginosos e recobertos por pele parcialmente alopécica. Esses nódulos variavam de 1,0 a 7,0cm de diâmetro e, ocasionalmente, apresentavam um pequeno orifício central, com 1-2mm de diâmetro, na superfície externa. Ao corte eram císticos, delimitados por uma parede fina e branca, com 0,5-0,8cm de espessura, e preenchidos por material branco ou amarelado e friável. Histologicamente, os cistos eram revestidos por epitélio, contendo todos os estratos de um epitélio escamosos estratificado, sobre uma fina cápsula de tecido conjuntivo fibroso denso. Os cistos eram preenchidos por agregados homogêneos e feixes de ceratina, arranjados de forma concêntrica. Baseado na localização e características macroscópicas e histológicas esses cistos foram diagnosticados como cistos epidermais infundibulares.(AU)
The clinic and pathological aspects of four cases of epidermal cysts in sheep are described. The affected two to 12-year-old sheep were from farms in the Rio Grande do Sul state, Brazil. Three sheep showed multiple nodules, scattered randomly throughout the body, while one sheep had a single nodule on the cervical region. The period between the emergence of the first nodule to appearance of multiple nodules was approximately eight months in a case, one year in two cases, and unknown in the remaining case. These four were the only affected sheep in their respective flocks. The cutaneous nodules were round to oval, raised, fluctuant, non-pruritic and covered by wooless skin. These nodules had 1-7cm in diameter and, occasionally, revealed a small 1-2mm central pore communicating the interior of the nodule with external surface. On cut surface, the nodules were cystic, demarcated by 0.5-0.8cm in thickness white wall, and filled by abundant white to yellow, friable material. Histologically, the cyst wall was lined by a rim of tissue containing all layers of a stratified squamous epithelium. This epithelium was anchored on and supported by a thin capsule of fibrous connective tissue. The cysts were filled with homogenous aggregates or concentrically arranged streams of keratin. Based on the location and on the gross and histological findings these nodules were diagnosed as infundibular epidermal cysts.(AU)
Subject(s)
Animals , Sheep Diseases , Skin Diseases , Sheep , Epidermal Cyst/veterinary , Corynebacterium pseudotuberculosis , Diagnosis, DifferentialABSTRACT
We report a 45-year-old woman presenting with a painful subungual epidermal cyst on the 4th finger nail bed. Based on clinical features only, the lesion was initially suspected to be a glomus tumor. However, histopathological examination revealed an epidermal cyst on the nail bed. Subungual epidermal cysts are rare disorders that may cause pain and tenderness that increase according to tumor growth. They can mimic glomus tumors owing to their similar clinical manifestations. To differentiate subungual epidermal cysts from glomus tumors, imaging tools such as ultrasonography and magnetic resonance imaging can be used. Dermatologists should be aware that several kinds of tumors including epidermal cysts with clinical similarities may occur in the subungual area.
Subject(s)
Female , Humans , Middle Aged , Epidermal Cyst , Fingers , Glomus Tumor , Hydrazines , Magnetic Resonance Imaging , NailsABSTRACT
BACKGROUND: Epidermal cysts are the most common of all cysts. OBJECTIVE: The purpose of this paper is to report the clinical and histopathologic features of epidermal cysts. METHODS: We reviewed the clinical and histopathologic features of 205 cases that were diagnosed with epidermal cysts at the department of dermatology in Anam Hospital of Korea University for 11 years, from January 1983 to December 1993. RESULTS: 1. Of the 3,400 cases of skin biopsy specimens, 205 cases were epidermal cysts(6%). There were 141 male cases (68.8%) and 64 female cases (32.2%). The ratio of male to female was 1:0.45. 2. Most patients with epidermal cysts belonged to age ranging from 20 to 59 with the highest incidence in the 3rd decade. 3. The site of predilection of the epidermal cysts were face 94(45.9%), trunk 37(18.0%), neck 23(11.2%), leg 21(10.2%), arm 19(9.3%),scalp 7(3.4%), scrotum 2(1.0%), and vagina 2(1.0%). 4. Histopathologically, 61 cases (29.3%) were ruptured. The most common cystic wall change was acanthosis followed by atrophy, hyperplasia, hypergranulosis, parakeratotis, basalioma-like change, squamous eddies, dyskeratosis. The most common cystic content was keratinous material followed by parakeratotic cells, pigment, bacterial colony, RBC, inflammatory cells, hair shaft, calcification, trichilemmal keratinization, pilomatricoma-like change. The most common stromal change was giant cells followed by fibrosis, granulation tissue formation,vessel proliferation, pigment. CONCLUSION: According to our results, which agree with those of Chung, the epidermal cysts occur as a disease particular to young men, especially on the face. Histopathologically, when an epidermal cyst ruptures and the contents of the cyst are released into the dermis, a considerable foreign body reaction with numerous multinucleated giant cells results.