Seven cases of intraosseous epidermoid inclusion cyst of the distal phalanx of the toe

Author(s):  
Kunihiko Matsubara
2020 ◽  
Vol 3 (1) ◽  
pp. 3-8
Author(s):  
Adrian Dumitru ◽  
Mariana Costache ◽  
Bogdan Şerban ◽  
Ionu-Mihai Japie ◽  
Dan Anghelescu ◽  
...  

AbstractEpidermoid bone inclusion cysts are pathological structures bordered by a layer of stratified squamous epithelium containing keratin debris. They are also called epidermal bone cysts. Intraosseous epidermoid cysts are rare entities; these lesions may occur as a result of trauma (puncture wound or pressure erosion).They appear to be well defined, translucent lytic lesions with sclerotic margins on imaging studies. The most frequent sites affected are: the distal phalanx and the calvaria - intradiploic, but a few cases of larger bone involvement have been reported. The imagistic differential diagnosis of this lesion includes intraosseous extension of a glomus tumor, enchondroma, osteoid osteoma, acral metastases, some primary vascular bone tumors, giant cell reparative granuloma, subungual nodular melanoma or other lytic non-neoplastic lesions such as osteomyelitis. We present the case of a 70-year-old man experiencing anxiety and pain due to distal phalanx expansion of the IV digit, following hand trauma. An X-ray was performed, showing a radiotransparent lesion located in the distal phalanx. An intramedullary inclusion cyst must be taken into account as a clinical differential diagnosis. Due to the extensive destruction of the distal phalanx, amputation was necessary. Gross examination of the surgical specimen revealed a cystic lesion that contained whitish, creamy material with extensive necrotic areas. Microscopic examination revealed a ruptured intraosseous epidermoid inclusion cyst, which was successfully excised.


2016 ◽  
Vol 02 (01) ◽  
pp. 24-27 ◽  
Author(s):  
David Ruchelsman ◽  
Daniel Laino ◽  
Kimberlly Chhor ◽  
German Steiner ◽  
Samuel Kenan

2010 ◽  
Vol 100 (2) ◽  
pp. 133-137 ◽  
Author(s):  
John E. Connolly ◽  
Nora R. Ratcliffe

Intraosseous epidermoid inclusion cysts are rare benign bone lesions that occur most commonly in the skull and in the distal phalanges of the fingers. Herein we report a case of an intraosseous epidermoid inclusion cyst occurring in the distal phalanx of the left hallux. Only six occurrences of this lesion have been described in the foot. This patient’s presentation, with active drainage (initially appearing as purulent discharge from an acutely tender ingrown hallux nail) and a known inoculation event accompanied by severe peripheral vascular disease, make this case unique. (J Am Podiatr Med Assoc 100(2): 133–137, 2010)


2003 ◽  
Vol 127 (7) ◽  
pp. e298-e300 ◽  
Author(s):  
Beverly Y. Wang ◽  
Jesse Eisler ◽  
Dempsey Springfield ◽  
Michael J. Klein

Abstract Epidermoid inclusion cysts are benign lesions that occasionally occur in the distal phalanges of the fingers but are less frequently identified and underreported in the toes. We describe a 55-year-old man with a history of work-related trauma followed by painful expansion of his right great toe, resulting in great anxiety. Imaging studies revealed a radiolucent lesion in the distal phalanx of his right hallux. Clinical differential diagnoses included the possibility of an intramedullary inclusion cyst and other various radiolucent lesions. During surgery, a cystic lesion that contained creamy material was discovered. Frozen section diagnosis of the lesion was an intraosseous epidermoid inclusion cyst. The lesion was removed and the patient recovered uneventfully. Although it has been reported that an unduly large number of phalangeal cysts have been treated by amputation, the judicious use of intraoperative frozen sections can prevent this scenario.


2017 ◽  
pp. 306-307
Author(s):  
G. Petur Nielsen ◽  
Andrew E. Rosenberg ◽  
Vikram Deshpande ◽  
Francis J. Hornicek ◽  
Susan V. Kattapuram ◽  
...  

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
James Ashcroft ◽  
Betania Mahler-Araujo ◽  
Richard J Davies

Abstract Epidermoid inclusion cysts of the perineal region are a rare entity, which require appropriate diagnosis and management. Here we describe the unusual case of a large protruding epidermoid inclusion cyst originating from the intersphincteric anal plane, which was mobilized and excised successfully. Essential investigations to ensure accurate diagnosis in addition to surgical technique to reduce recurrence and patient morbidity are described in this case report.


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