Squamous cell carcinoma arising in an epidermal inclusion cyst.
An epidermal inclusion cyst is a widespread benign intradermal lesion and may occur anywhere in the body. Normally, it appears as a non-tender, soft mass of variable size. Dissection usually reveals grayish-white or whitish gelatinous materials and a smooth inner surface. The overlying skin almost always shows unremarkable changes. On occasion, the cyst may rupture and induce an inflammatory reaction. It rarely turns malignant or displays a firmer mass. This study reports on a rare case of squamous cell carcinoma arising from the lining cells of an epidermal inclusion cyst, which was located in the left axillary region of a 68-year-old male patient. Clinically, it is difficult to differentiate between a benign and malignant cystic lesion. Histological examination normally yields the diagnosis. Once a diagnosis is confirmed, the tumor should be widely excised with a free margin. The outcome is always excellent. We therefore emphasize that all resected skin cystic specimens should undergo further microscopic examination to avoid any unnecessary misdiagnosis.
Lin
Chin-Yew
CY
Department of Pathology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC. naga66@cgmh.org.tw
Jwo
Shyh-Chuan
SC
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology*; D004814:Epidermal Cyst / Q000473:pathology*; D006801:Humans; D008297:Male; D012878:Skin Neoplasms / Q000473:pathology*