Epidermoid cyst is a benign
tumor containing a layer composed by stratified squamous
epithelium and filled with
keratin. The
epidermoid cyst after soft
tissue damage such as
bite,
laceration could be caused by implantation of
epidermal cells. There are
reports of
epidermoid cyst rarely occurred after
surgical procedures such as
bone graft or
spine puncture. However, the
report of
epidermoid cyst associated with flap in the
hand is very rare. We experienced such
epidermoid cyst after the
groin flap mimicking
malignancy in the distal phalanx of the
thumb. We found calcified mass with bony erosions in radiologic findings and heterotrophic signals and partial
necrosis in
magnetic resonance imaging that suggested
malignancy. However, it was pathologically diagnosed as an
epidermoid cyst. Therefore, we
report the case and
literature review.