Therapeutic approach to epidermoid cyst

Ketan Vagholkar, Suvarna Vagholkar


Epidermoid cyst is one of the commonest cutaneous swelling treated by a general surgeon. It is usually misnamed as a sebaceous cyst. Understanding the anatomical origin and pathogenesis of the cyst is pivotal for diagnosis and successful treatment. The etiopathogenesis, clinical features and surgical approach is presented in this paper.


Diagnosis, Epidermoid cyst, Treatment

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Suliman MT. Excision of epidermoid (sebaceous) cyst: description of the operative technique. Plast Reconstr Surg. 2005;116:2042-3.

Nakamura M. Treating a sebaceous cyst: an incisional technique. Aesthetic Plast Surg. 2001;25:52-6.

Frank E, Macias D, Hondorp B, Kerstetter J, Inman JC. Incidental squamous cell carcinoma in an epidermal inclusion cyst: a case report and review of the literature. Case Rep Dermatol. 2018;10(1):61-8.

Moore C, Greer DM. Sebaceous cyst extraction through mini-incisions. Br J Plast Surg. 1975;28:307-9.

Humeniuk HM, Lask GP. Treatment of benign cutaneous lesions. In: Parish LC, Lask GP, eds. Aesthetic dermatology. New York: McGraw-Hill; 1991: 39-49.

Golden BA, Zide MF. Cutaneous cysts of the head and neck. J Oral Maxillofac Surg. 2005;63:1613-9.

Cruz AB, Aust JB. Lesions of the skin and subcutaneous tissue. In: Hardy JD, Kukora JS, Pass HI, eds. Hardy's Textbook of surgery. Philadelphia: Lippincott; 1983:319-28.

Domonkos AN, Arnold HL, Odom RB. Andrews' Diseases of the skin: clinical dermatology. 7th ed. Philadelphia: Saunders; 1982:77-82.

Ibrahim AE, Barikian A, Janom H, Kaddoura I. Numerous recurrent trichilemmal cysts of the scalp: differential diagnosis and surgical management. J Craniofac Surg. 2012;23(2):164-8.

Nigam JS, Bharti JN, Nair V, Gargade CB, Deshpande AH, Dey B, et al. Epidermal cysts: A clinicopathological analysis with emphasis on unusual findings. Int J Trichol. 2017;9:108-12.

Warvi WN, Gates O. Epithelial cysts and cystic tumors of the skin. Am J Pathol. 1943;19(5):765-83.

Kuniyuki S, Yoshida Y, Maekawa N, Yamanaka K. Bacteriological study of epidermal cysts. Acta Derm Venereol. 2008;88(1):23-5.

Kirkham N. Tumors and cysts of the epidermis. In: Elder DE, Elenitsas R, Johnson BL, Murphy GF, editors. Lever's Histopathology of the skin. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2005:814-816.

Bode U, Plewig G. Classification of follicular cysts: epidermal cysts including G√ľnther sebocystomatosis, steatocystoma multiplex and trichilemmal cysts. Hautarzt. 1980;31(1):1-9.

Venus MR, Eltigani EA, Fagan JM. Just another sebaceous cyst? Ann R Coll Surg Engl. 2007;89(6):19-21.

Hwang DY, Yim YM, Kwon H, Jung SN. Multiple huge epidermal inclusion cysts mistaken as neurofibromatosis. J Craniofac Surg. 2008;19(6):1683-6.