Epidermal inclusion cyst with foreign-body giant-cell reaction treated with surgical excision and rotational flap closure: A case report

Epidermal inclusion cysts (epidermoid cysts) occur from penetration of epidermal cells into underlying dermal tissue. They are most commonly found on the scalp, face, neck, and back with a reported incidence of 10% on the extremities. We present the case of a 53-year-old female who presented with co...

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Bibliographic Details
Published inProceedings of Singapore healthcare Vol. 27; no. 4; pp. 282 - 286
Main Authors Preston, Nathaniel LP, Johnson, Michael K, Thomas, Randall C
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.12.2018
Sage Publications Ltd
SAGE Publishing
Subjects
Case reports
Cysts
Feet
Skin & tissue grafts
Surgical techniques
giant cell reaction
rotational flap
epidermoid cyst
soft-tissue mass
Epidermal inclusion cyst
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Summary:Epidermal inclusion cysts (epidermoid cysts) occur from penetration of epidermal cells into underlying dermal tissue. They are most commonly found on the scalp, face, neck, and back with a reported incidence of 10% on the extremities. We present the case of a 53-year-old female who presented with complaint of a painful plantar forefoot soft-tissue mass of insidious origin. After magnetic resonance imaging, she was treated with surgical excision and plastic rotational flap closure. The surgical site healed without incident, and she was able to ambulate pain free in her normal footwear with full weight bearing and no shoe modifications or orthotics. This case was novel in that the size of the lesion required the use of a uni-lobe full-thickness rotational skin flap to achieve complete tension-free closure.
ISSN:2010-1058
2059-2329
DOI:10.1177/2010105818760048