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      Intraosseous keratin cyst of the distal phalanx

      case-report

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          Abstract

          Keratin or epidermoid cysts of the phalanges are rare lesions mimicking osteolytic lesions such as infection, malignancy and other tumours. Definitive diagnosis can be made by histopathology only and treatment is by simple excision and curettage. We present a case of intraosseous keratin cyst of the distal phalanx and review of literature.

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          Most cited references8

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          Intraosseous epidermoid cysts of the hand skeleton: a series of eight patients.

          This paper reviews the clinical and radiographic features and treatment results in eight patients with intraosseous epidermoid cysts in the terminal phalanx of a finger seen over a period of 26 years. Data on age, sex, occupation, diagnostic findings, history of injury in six cases, treatment and follow-up were obtained by reviewing medical records and the histopathological findings using the hospital database. The most frequent symptoms of pressure pain, tenderness, redness and swelling occurred at a median time of 12 years after trauma. Male patients were mainly affected (7:1). In four the intraosseous epidermoid cysts were confused with other osteolytic diseases before surgery. Magnetic resonance imaging is recommended in any case of an osteolytic, expanding lesion, particularly in cases that are clinically and radiologically not obviously an intraosseous epidermoid cyst.
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            Sebaceous cyst of the terminal phalanx of the thumb, an unusual form of bone tumor

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              Phalangeal intraosseous epidermoid cyst.

              The authors describe two cases of phalangeal intraosseous epidermoid cyst. Two theories try to explain their origin. One theory sees traumatic implantation of epidermal cells as causative. A second theory is based on faulty embryogenesis.
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                Author and article information

                Journal
                Indian J Plast Surg
                Indian J Plast Surg
                IJPS
                Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
                Medknow Publications & Media Pvt Ltd (India )
                0970-0358
                1998-376X
                May-Aug 2015
                : 48
                : 2
                : 212-214
                Affiliations
                [1]Department of Plastic and Reconstructive Surgery, Parvathy Hospital, Chennai, Tamil Nadu, India
                [1 ]Physiotherapist Parvathy Hospital, Chennai, Tamil Nadu, India
                Author notes
                Address for correspondence: Dr. Rohini Prasad, Plastic Surgeon, Parvathy Hospital, Chennai, Tamil Nadu, India. E-mail: rohinibph@ 123456yahoo.com
                Article
                IJPS-48-212
                10.4103/0970-0358.163066
                4564511
                26424991
                737fc2f9-6b52-4774-bb18-5e3117416938
                Copyright: © Indian Journal of Plastic Surgery

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Surgery
                intraosseous,keratin or epidermoid cyst,lytic bone lesion
                Surgery
                intraosseous, keratin or epidermoid cyst, lytic bone lesion

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