title: Excision of an enlarging vaginal epidermal inclusion cyst during pregnancy:  a case report.
abstract: OBJECTIVE
  The study aimed to report the case of a patient with an enlarging and symptomatic epidermal inclusion cyst during pregnancy that required surgical excision.
  
  
  METHODS
  This study was a case report of a 28-year-old woman (gravida 8, para 5, aborta 2) at a gestational age of 18 weeks 5 days who reported a tender vaginal mass that had grown larger for more than a week.
  
  
  RESULTS
  An enlarging symptomatic cystic mass was surgically excised. Histopathologic findings of the excised mass were consistent with an epidermal inclusion cyst with surrounding moderate chronic inflammation and cyst rupture. The patient's symptoms resolved completely by her postoperative visit.
  
  
  CONCLUSIONS
  Although most epithelial inclusion cysts are asymptomatic and can be managed expectantly, cysts that enlarge or become symptomatic should be excised surgically.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine, Drexel University, Philadelphia, PA 19102, USA. Nigel.Pereira@drexelmed.edu
authors.forename: Nigel
authors.initials: N
authors.lastname: Pereira
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Guilfoil
mesh_terms: D000328:Adult; D018450:Disease Progression; D004814:Epidermal Cyst / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005865:Gestational Age; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery; D011256:Pregnancy Outcome; D018570:Risk Assessment; D016896:Treatment Outcome; D014623:Vaginal Diseases / Q000175:diagnosis / Q000601:surgery*