A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation

Epidermal inclusion cysts are benign cutaneous lesions caused by dermal or subdermal implantation and proliferation of epidermal squamous epithelium as a result of trauma or surgery. They are typically located on the scalp, face, trunk, neck, or back; however they can be found anywhere on the body....

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Main Authors: Iain Bohler, Phillip Fletcher, Amanda Ragg, Andrew Vane
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/9035246
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author Iain Bohler
Phillip Fletcher
Amanda Ragg
Andrew Vane
author_facet Iain Bohler
Phillip Fletcher
Amanda Ragg
Andrew Vane
author_sort Iain Bohler
collection DOAJ
description Epidermal inclusion cysts are benign cutaneous lesions caused by dermal or subdermal implantation and proliferation of epidermal squamous epithelium as a result of trauma or surgery. They are typically located on the scalp, face, trunk, neck, or back; however they can be found anywhere on the body. Lesions are asymptomatic unless complicated by rupture, malignant transformation to squamous cell carcinoma, or infection at which point they can clinically appear as more sinister pathologies. We present the case of a 45-year-old laborer with a ruptured epidermal inclusion cyst, manifesting clinically and radiographically as a malignancy. Following MRI, definitive surgical management may appear to be a logical progression in management of the patient. This case however is a good example of why meticulously following surgical protocol when evaluating an unknown soft tissue mass is imperative. By following protocol, an alternate diagnosis was made and the patient has since gone on to a make a full recovery without life transforming surgery.
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issn 2090-6749
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series Case Reports in Orthopedics
spelling doaj-art-ea7c3a5c560548fcba34599899f91e932025-02-03T06:08:38ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/90352469035246A Ruptured Digital Epidermal Inclusion Cyst: A Sinister PresentationIain Bohler0Phillip Fletcher1Amanda Ragg2Andrew Vane3Orthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, Bay of Plenty 3112, New ZealandOrthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, Bay of Plenty 3112, New ZealandOrthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, Bay of Plenty 3112, New ZealandOrthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, Bay of Plenty 3112, New ZealandEpidermal inclusion cysts are benign cutaneous lesions caused by dermal or subdermal implantation and proliferation of epidermal squamous epithelium as a result of trauma or surgery. They are typically located on the scalp, face, trunk, neck, or back; however they can be found anywhere on the body. Lesions are asymptomatic unless complicated by rupture, malignant transformation to squamous cell carcinoma, or infection at which point they can clinically appear as more sinister pathologies. We present the case of a 45-year-old laborer with a ruptured epidermal inclusion cyst, manifesting clinically and radiographically as a malignancy. Following MRI, definitive surgical management may appear to be a logical progression in management of the patient. This case however is a good example of why meticulously following surgical protocol when evaluating an unknown soft tissue mass is imperative. By following protocol, an alternate diagnosis was made and the patient has since gone on to a make a full recovery without life transforming surgery.http://dx.doi.org/10.1155/2016/9035246
spellingShingle Iain Bohler
Phillip Fletcher
Amanda Ragg
Andrew Vane
A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
Case Reports in Orthopedics
title A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
title_full A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
title_fullStr A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
title_full_unstemmed A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
title_short A Ruptured Digital Epidermal Inclusion Cyst: A Sinister Presentation
title_sort ruptured digital epidermal inclusion cyst a sinister presentation
url http://dx.doi.org/10.1155/2016/9035246
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