40 Years Old Mass, Resting in Male Breast; A Rare Epidermal Inclusion Cyst
Keywords:
epidermal inclusion cyst, elliptical incision, gynecomastia, fibroadenomaAbstract
We present a case of 50-years-old male, with right breastepidermoid cyst,whose enlargement over the past few months caught the attention, due to its harmless nature its enlargement since 40 years was ignored by patient. Its occurrence in the breast tissue is rare as documented in literature. However, clinicians might find difficulty in differentiating it from other breast swellings like gynecomastia, fibroadenoma, or benign and malignant conditions of breast. The purpose of this case report is to increase the awareness among the general surgeons of this rare presentation; and to entertain the phenomenon of diagnosing with simple radiological modalities.Complete excision using elliptical incision is still the surgical treatment of choice.
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References
Cooper RA, Ramamurthy L. Epidermal inclusion cyst in the male breast. Can Assoc Radiol J 1996; 47:92–4.
Crystal P, Shaco-Levy R. Concentric rings within a breast mass on sonography: lamillated keratin in an epidermal inclusion cyst. Am J Roentgenol 2005; 184:547–8.
Beromann-Koester CU, Kolberg HC, Rudolf I, Krue- ger S, Gellisen J, Stoeckelhuber BM. Epidermal cyst of the breast mimicking malignancy: clinical, radiological and histological correlation. Arch Gynecol Obstet 2006; 273:312–4
Menville JG. Simple dermoid cysts of the breast. Ann Surg 1936; 103:49–56.
Chantra PK, Tang JT, Stanley TM, Bassett LW. Circumscribed fibrocystic mastopathy with formation of an epidermal cyst. Am J Roentgenol 1994; 163:831–2.
Houdek MT, Warneke JA, Pollard CM, Lindgreen EA, Taljanovic MS. Giant epidermal cyst of the gluteal region. Radiol Case Rep 2015; 5:476.
Lam SY, Kasthoori JJ, Mun KS, Rahmat K. Epidermal inclusion cyst of the breast: a rare benign entity. Singapore Med J 2010; 51:191–4.
Whang IY, Lee JH, Kim JS, Kim KT, Shin OR. Ruptured epidermal inclusion cysts in the subareolar area: sonographic findings in two cases. Korean J Radiol 2007; 8:356–9.
Kwack JY, Park HL, Kim JY, Chung SY, Kwon TH, Hong HS, et al. Imaging finding in a case of epidermal inclusion cyst arising within the breast parenchyma. J Clin Ultra 2004; 32:141–3.
Giess CS, Raza S, Birdwell RL. Distinguishing breast skin lesions from superficial breast parenchymal lesions: diagnostic criteria, imaging characteristics, and pitfalls. Radiographics 2011; 31:1959–72.
Mahmud MU, Sheuly SB, Bhuiyan NH, Chowdhury R, Ali R. Giant epidermoid cyst in the breast: A common benign lesion at a rare site-A case report. Int J Surg Case Rep 2017; 36:130-2.
Crystal P, Shaco-Levy R. Concentric rings within a breast mass on sonography: lamellated keratin in an epidermoid inclusion cyst. Am J Roentgenol 2005; 184:47–8.
Solak O, Tunay K, Haktanir NT, Ocalan K, Esme H, Tokyol C. Giant epidermoid cyst in the sternum region. Thorac Cardiovasc Surg 2008; 56:243–5.
Meeta S, Barkha M, Shyama J. Epidermal inclusion cyst in breast: is it so rare? J Cytol 2012; 29:169–72
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Copyright (c) 2021 Muhammad Danish Muneeb, Mirza Aga Naushad Baig, Khalid Ahmed Ahmed
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