Case Report: Giant Epidermoid Cyst on the Neck with Hypopharyngeal Propulsion

Yayan Akhyar; Sukri Rahman

doi:10.19184/ams.v7i3.24842

Yayan Akhyar Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Andalas University, Padang, Indonesia
Sukri Rahman Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Andalas University, Padang, Indonesia

DOI: https://doi.org/10.19184/ams.v7i3.24842

Abstract

Introduction: Dermoid cyst is a cystic mass lined with stratified squamous epithelium with skin adnexal structure. Histopathologically dermoid cysts consist of 3 types, namely epidermoid cysts, true dermoid cysts and teratoid cysts. Epidermoid cysts are characterized by masses with a simple squamous epithelial lining. When the cyst ruptures, it releases a cheesy white matter that smells bad. Epidermoid cysts are most commonly found in the age range of 15 and 35 years with almost the same frequency between male and female sexes. Case description: We report a case of a 52-year-old man with a lump on the left side of the neck that has been slowly growing since 1 year and a computer tomography of the neck suspected a cyst in the anterior glottis. The patient was diagnosed as a neck cyst. Management was carried out by excision of the cyst under general anesthesia and histopathological examination with the results of an Epidermoid cyst. Conclusion: Epidermoid cysts can develop in any part of the body, but are very rare on the head and neck. Definitive management of epidermoid cysts with complete excision of the cyst gives satisfactory results

Keywords: Giant Epidermoid Cyst, excision, hypopharyngeal propulsion

References

Cho, Y., & Lee, D. H. (2017). Clinical characteristics of idiopathic epidermoid and dermoid cysts of the ear. Journal of Audiology and Otology, 21(2), 77–80. https://doi.org/10.7874/jao.2017.21.2.77

Choi, J. S., Bae, Y. C., Lee, J. W., & Kang, G. Bin. (2018). Dermoid cysts: Epidemiology and diagnostic approach based on clinical experiences. Archives of Plastic Surgery, 45(6), 512–516. https://doi.org/10.5999/aps.2018.00017

Choi, M. K., & Chung, K. J. (2019). Factors affecting complications after treatment of epidermal cyst. Yeungnam University Journal of Medicine, 36(2), 136–140. https://doi.org/10.12701/yujm.2019.00164

Dutta, M., Saha, J., Biswas, G., Chattopadhyay, S., Sen, I., & Sinha, R. (2013). Epidermoid Cysts in Head and Neck: Our Experiences, with Review of Literature. Indian Journal of Otolaryngology and Head and Neck Surgery, 65(SUPPL 1), 14–21. https://doi.org/10.1007/s12070-011-0363-y

Gaddikeri, S., Vattoth, S., Gaddikeri, R. S., Stuart, R., Harrison, K., Young, D., & Bhargava, P. (2014). Congenital cystic neck masses: Embryology and imaging appearances, with clinicopathological correlation. Current Problems in Diagnostic Radiology, 43(2), 55–67. https://doi.org/10.1067/j.cpradiol.2013.12.001

Haflah, N. M., Kassim, A. M., & Shukur, M. H. (2011). Giant epidermoid cyst of the posterior neck. Malaysian Orthopaedic Journal, 5(3), 17–19. https://doi.org/10.5704/MOJ/1111.001

Kale, K., & Iyengar, A. (2017). Epidermoid cyst: A case report and review of literature. Indian Journal Of Applied Research, 7(3), 16–17. https://doi.org/10.11604/pamj.2016.23.226.9225

Mendonça, J. C. G. de, Jardim, E. C. G., Santos, C. M. dos, Masocatto, D. C., Quadros, D. C. de, Oliveira, M. M., Macena, J. A., & Teixeira, F. R. (2018). Neurofibromatosis Type 1 in the Mandible. Annals of Maxillofacial Surgery, 8(1), 151–154. https://doi.org/10.4103/ams.ams

Mittal, M. K., Malik, A., Sureka, B., & Thukral, B. B. (2012). Cystic masses of neck: A pictorial review. Indian Journal of Radiology and Imaging, 22(4), 334–343. https://doi.org/10.4103/0971-3026.111488

Palaskar, S. J., Garde, J., Bartake, A., & Narang, B. (2014). Teratoid cyst of the oral cavity: A rare entity. Journal of Oral and Maxillofacial Pathology, 18(3), 469–471. https://doi.org/10.4103/0973-029X.151359

Rudagi, B. M., Ansari, M., & Mutha, A. (2018). Scholars Journal of Medical Case Reports (SJMCR)Giant Dermoid Cyst in the Nasal Bridge Region Developing Over 12 Years. 6559, 1065–1067. https://doi.org/10.21276/sjmcr.2018.6.12.18

Sajad, P., Farooq, S., Qadri, S., Shahnawaz, S., Shehdad, N., Ur-Rehman, S., & Ahanger, G. (2018). Epidermoid Cyst Masquerading Clinically as Hemangioma and Radiologically as Peripheral Nerve Sheath Tumour: Report of a Case from a District Hospital of Kashmir Valley of North India. International Journal of Radiology & Radiation Therapy, 5(1), 38–40. https://doi.org/10.15406/ijrrt.2018.05.00130

Sheshadri, P., Kalappa, T. M., Pramod Krishna, B., Kumaran, S., & Lakshith Biddappa, M. A. (2016). Dermoid Cyst of Submental Region Mimicking Pilomatricoma. Journal of Maxillofacial and Oral Surgery, 15(2), 339–342. https://doi.org/10.1007/s12663-015-0871-5

Shivakumar, M. S., Yogesh, T. L., Nagaraj, T., & Sinha, P. (2015). Epidermal inclusion cyst of buccal mucosa: A rare case report. International Journal of Medical and Dental Case Reports, 2, 1–3. https://doi.org/10.15713/ins.ijmdcr.46

Shylaja, Attur, K., Mohtta, A., & Goud, S. (2011). Teratoid Cyst of Tongue : Report of a Rare Variant of Dermoid Cyst and Review of Literature on Dermoid Cyst. Indian Journal Stomatology, 2(4), 267–269.

Sunil, S., Oommen, N., Rathy, R., Rekha, V. R., Raj, D., & Sruthy, V. K. (2014). Epidermoid Cysts of Head and Neck Region: Case Series and Review of Literature. International Journal of Odontostomatology, 8(2), 165–169. https://doi.org/10.4067/s0718-381x2014000200003