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      Quiste epidérmico de dimensiones excepcionales en región lumbosacra: caso clínico Translated title: Exceptional dimensions epidermal cyst in the lumbosacral region: case report

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          Abstract

          Resumen Presentamos el caso clínico de un paciente de 57 años con tumoración de tejidos blandos a nivel lumbosacro de 30 años de evolución, de 17 x 13 x 9 cm en sus diámetros máximos. Incluimos en detalle el procedimiento diagnóstico y terapéutico seguido así como el reporte histopatológico, consistente en un quiste epidérmico de inclusión. Presentamos este caso por las excepcionales dimensiones de la tumoración y llevamos a cabo una revisión de la literatura al respecto con el fin de actualizar la información sobre esta patología.

          Translated abstract

          Abstract We present the clinical case of a 57-year-old patient with a lumbosacral soft tissue tumor of 30 years of evolution, measuring 17 x 13 x 9 cm in its maximum diame- ters. We include in detail the diagnostic and therapeutic procedures followed, as well as the histopathological report, consisting of an epidermal inclusion cyst. The main interest of this case is the exceptional dimension of the cyst, and by the way, we carried out a literature review in this regard in order to update the information on this pathology.

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          Most cited references12

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          Overview of epidermoid cyst

          Highlights • The term “sebaceous cyst” has fallen into disuse, the current term is an epidermoid cyst. • Other common synonyms include infundibular cyst, epidermal cyst, epidermal inclusion cyst, and epidermoid inclusion cyst. • These cysts are slow-growing masses that elevate the skin and often have a central punctum. • On radiology, they have round to oval structure, well-circumscribed, avascular mass; restricted diffusion is typical. • Removal may be accomplished by simple excision or incision.
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            MRI findings of subcutaneous epidermal cysts: emphasis on the presence of rupture.

            Our aim was to describe the MRI findings of subcutaneous epidermal cysts with an emphasis on determining the presence of rupture. Epidermal cysts show a fluidlike signal with variable low-signal components on T2-weighted images and peripheral rim enhancement on gadolinium-enhanced images. Most ruptured cysts have septa, show thick and irregular rim enhancement, and are accompanied by a fuzzy enhancement in surrounding subcutaneous tissues. These imaging features of a ruptured epidermal cyst simulate a mass of infectious or neoplastic origin.
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              Giant epidermal inclusion cyst of buttock.

              Epidermal inclusion cyst is a common benign soft-tissue lesion of skin. It often presents as a small lesion, but rarely grows to a large mass. We are presenting a giant gluteal epidermal inclusion cyst that grew to an enormous size, masquerading as a large soft-tissue neoplasm. Magnetic resonance imaging not only displays the size and margins of these well-encapsulated lesions in three planes, but shows characteristic internal features that may suggest the preoperative diagnosis.
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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                September 2022
                : 48
                : 3
                : 315-320
                Affiliations
                [4] Toluca Estado de México orgnameCentro Médico ISSEMYM orgdiv1Servicio de Anatomía Patológica Mexico
                [1] Toluca Estado de México orgnameCentro Médico ISSEMYM orgdiv1Servicio de Cirugía Plástica, Estética y Reconstructiva Mexico
                [2] Toluca Estado de México orgnameCentro Médico ISSEMYM orgdiv1Servicio de Cirugía Plástica, Estética y Reconstructiva Mexico
                [3] Toluca Estado de México orgnameCentro Médico ISSEMYM orgdiv1Servicio de Radiología e Imagen Mexico
                Article
                S0376-78922022000300315 S0376-7892(22)04800300315
                10.4321/s0376-78922022000300008
                32d4de2f-7820-41d5-902d-2a3679057b96

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 20 August 2022
                : 05 March 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 6
                Product

                SciELO Spain

                Categories
                Reconstructiva

                Tumores benignos,Soft tissue tumors,Benign tumors,Epidermal cyst,Tumores tejidos blandos,Quiste epidérmico

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