Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features

Epidermal inclusion cyst is a relatively common benign lesion of the skin, and it can occur anywhere in the hair-bearing area of the body. It usually appears as an asymptomatic mass, which is less than 4 cm in size. However, rarely it can occur as a large mass in the axilla, and in such cases, the l...

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Main Author: Ji Young Lee, MD
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321007251
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author Ji Young Lee, MD
author_facet Ji Young Lee, MD
author_sort Ji Young Lee, MD
collection DOAJ
description Epidermal inclusion cyst is a relatively common benign lesion of the skin, and it can occur anywhere in the hair-bearing area of the body. It usually appears as an asymptomatic mass, which is less than 4 cm in size. However, rarely it can occur as a large mass in the axilla, and in such cases, the location and size tend to cause more complications. The author encountered a patient with a large epidermal inclusion cyst of the axilla. Ultrasound examination showed an oval-shaped hypoechoic subcutaneous mass with dermal attachment, intralesional echogenic reflectors, filiform anechoic areas, and no vascularity. These characteristic imaging features could lead to an accurate preoperative imaging diagnosis without biopsy and avoid subsequent complications. Excision of the mass was performed due to discomfort because of the large size and growing nature of the lesion, and histological examination confirmed the diagnosis of an epidermal inclusion cyst. Therefore, recognition of diagnostic ultrasound features of this entity may enable an accurate preoperative diagnosis, even when it has an unusual size and location.
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spelling doaj.art-c6ce3a99e9b94a6087cc8439a0a598682022-12-21T21:32:34ZengElsevierRadiology Case Reports1930-04332022-01-011716467Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging featuresJi Young Lee, MD0Corresponding author.; Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine, 170 Juhwa-ro, Ilsanseo-gu, Goyang, Gyeonggi-do 10380, Republic of KoreaEpidermal inclusion cyst is a relatively common benign lesion of the skin, and it can occur anywhere in the hair-bearing area of the body. It usually appears as an asymptomatic mass, which is less than 4 cm in size. However, rarely it can occur as a large mass in the axilla, and in such cases, the location and size tend to cause more complications. The author encountered a patient with a large epidermal inclusion cyst of the axilla. Ultrasound examination showed an oval-shaped hypoechoic subcutaneous mass with dermal attachment, intralesional echogenic reflectors, filiform anechoic areas, and no vascularity. These characteristic imaging features could lead to an accurate preoperative imaging diagnosis without biopsy and avoid subsequent complications. Excision of the mass was performed due to discomfort because of the large size and growing nature of the lesion, and histological examination confirmed the diagnosis of an epidermal inclusion cyst. Therefore, recognition of diagnostic ultrasound features of this entity may enable an accurate preoperative diagnosis, even when it has an unusual size and location.http://www.sciencedirect.com/science/article/pii/S1930043321007251Giant epidermal inclusion cystAxillaUltrasound Imaging
spellingShingle Ji Young Lee, MD
Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
Radiology Case Reports
Giant epidermal inclusion cyst
Axilla
Ultrasound Imaging
title Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
title_full Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
title_fullStr Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
title_full_unstemmed Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
title_short Giant epidermal inclusion cyst of the axilla: a case report with diagnostic ultrasound imaging features
title_sort giant epidermal inclusion cyst of the axilla a case report with diagnostic ultrasound imaging features
topic Giant epidermal inclusion cyst
Axilla
Ultrasound Imaging
url http://www.sciencedirect.com/science/article/pii/S1930043321007251
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