A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report

Cutaneous Ciliated Cyst (CCC) of Mullerian origin are rare, benign, soft tissue tumors with less than 60 reported occurrences reported in literature, none in foot and ankle publications. Most of these lesions occur in the lower extremity of women of child-bearing age. We present a case involving a 3...

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Main Authors: Zachary Hill, DPM, Ryan Stone, DPM, Richard Weiner, DPMFACFAS, Kaila Buckley, MD
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396723000083
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author Zachary Hill, DPM
Ryan Stone, DPM
Richard Weiner, DPMFACFAS
Kaila Buckley, MD
author_facet Zachary Hill, DPM
Ryan Stone, DPM
Richard Weiner, DPMFACFAS
Kaila Buckley, MD
author_sort Zachary Hill, DPM
collection DOAJ
description Cutaneous Ciliated Cyst (CCC) of Mullerian origin are rare, benign, soft tissue tumors with less than 60 reported occurrences reported in literature, none in foot and ankle publications. Most of these lesions occur in the lower extremity of women of child-bearing age. We present a case involving a 33-year-old female who presented with a painful soft tissue mass to the right hindfoot. Physical examination demonstrated a well-circumscribed, adhered soft tissue lesion proximal to the 5th metatarsal base. Conservative treatment failed to relieve symptoms. MRI demonstrated a lobulated collection of fluid in the area of the soft tissue lesion. The mass was surgically excised and sent to pathology. Histopathologic and immunohistochemical examination showed pseudostratified cuboidal to columnar epithelial lining with nuclear positivity for estrogen and progesterone receptors, a benign lesion with lineage from the Mullerian duct. The patient was followed for 14+ months and has subsequently recovered without complications or recurrence. We aim to illustrate characteristics that define these rare lesions and further educate foot and ankle surgeons on CCC management.
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spelling doaj.art-76b905cadd734aec90842c31c97e8aa52023-12-08T04:47:25ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672023-01-0134100270A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case reportZachary Hill, DPM0Ryan Stone, DPM1Richard Weiner, DPMFACFAS2Kaila Buckley, MD3Resident Physician at Ohio Health Grant Medical Center, 111 S.Grant Ave, Columbus, OH 43215, United States; Corresponding author.Resident Physician at Ohio Health Grant Medical Center, 111 S.Grant Ave, Columbus, OH 43215, United StatesAttending Physician at Ohio Health Grant Medical Center and Step Lively Foot and Ankle Center, United StatesAttending Physician at Ohio Health Grant Medical Center, United StatesCutaneous Ciliated Cyst (CCC) of Mullerian origin are rare, benign, soft tissue tumors with less than 60 reported occurrences reported in literature, none in foot and ankle publications. Most of these lesions occur in the lower extremity of women of child-bearing age. We present a case involving a 33-year-old female who presented with a painful soft tissue mass to the right hindfoot. Physical examination demonstrated a well-circumscribed, adhered soft tissue lesion proximal to the 5th metatarsal base. Conservative treatment failed to relieve symptoms. MRI demonstrated a lobulated collection of fluid in the area of the soft tissue lesion. The mass was surgically excised and sent to pathology. Histopathologic and immunohistochemical examination showed pseudostratified cuboidal to columnar epithelial lining with nuclear positivity for estrogen and progesterone receptors, a benign lesion with lineage from the Mullerian duct. The patient was followed for 14+ months and has subsequently recovered without complications or recurrence. We aim to illustrate characteristics that define these rare lesions and further educate foot and ankle surgeons on CCC management.http://www.sciencedirect.com/science/article/pii/S2667396723000083Foot and ankleSurgerySoft tissue massPathologyCutaneous ciliated cystMullerian
spellingShingle Zachary Hill, DPM
Ryan Stone, DPM
Richard Weiner, DPMFACFAS
Kaila Buckley, MD
A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
Foot & Ankle Surgery: Techniques, Reports & Cases
Foot and ankle
Surgery
Soft tissue mass
Pathology
Cutaneous ciliated cyst
Mullerian
title A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
title_full A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
title_fullStr A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
title_full_unstemmed A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
title_short A rare case of a cutaneous ciliated cyst of Mullerian origin found in the lower extremity: A case report
title_sort rare case of a cutaneous ciliated cyst of mullerian origin found in the lower extremity a case report
topic Foot and ankle
Surgery
Soft tissue mass
Pathology
Cutaneous ciliated cyst
Mullerian
url http://www.sciencedirect.com/science/article/pii/S2667396723000083
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