Resident, Temple University Hospital Podiatric Surgical Residency Program, Philadelphia, PA.
Clinical Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.
J Foot Ankle Surg. 2021 Sep-Oct;60(5):1088-1093. doi: 10.1053/j.jfas.2021.03.017. Epub 2021 May 21.
Epidermal inclusion cysts are slowly developing intradermal lesions which form after the implantation of epidermal tissue into the dermal tissue. Epidermal cysts occur infrequently in the foot, but can occur after traumatic episodes, including surgically induced trauma. Epidermal inclusion cysts have been described as a complication of minimally invasive foot and ankle surgery; however, they have been described infrequently as a complication of radiofrequency microtenotomy. To our knowledge, only one other case study exists discussing the development of a singular epidermal cyst after undergoing radiofrequency microtenotomy. Therefore, the purpose of the present case report was to discuss a case of the development of multiple epidermal inclusion cysts of the plantar heel after radiofrequency microtenotomy for treatment of plantar fasciitis. After undergoing radiofrequency coblation in November 2017, the patient developed multiple plantar heel cysts. She went on to have them surgically removed in February 2018 and again in June 2018. By the time of presentation to our office in October 2018, multiple cysts were still present to her heel despite 2 surgical excisions. Seventeen months after surgical excision in February 2019, the patient remained cyst-free.
表皮内包涵囊肿是一种缓慢发展的真皮内病变，是表皮组织植入真皮组织后形成的。表皮囊肿在足部并不常见，但可在创伤后发生，包括手术引起的创伤。表皮内包涵囊肿已被描述为微创足踝手术的并发症；然而，它们作为射频微切开术的并发症很少被描述。据我们所知，仅有另一例病例研究讨论了在接受射频微切开术后发生单个表皮囊肿的情况。因此，本病例报告的目的是讨论一例在接受射频消融术治疗足底筋膜炎后发生多个足底跟部表皮内包涵囊肿的病例。患者于 2017 年 11 月接受射频消融术治疗后，出现多个足底跟部囊肿。她于 2018 年 2 月和 2018 年 6 月接受了手术切除。在 2018 年 10 月到我们办公室就诊时，尽管进行了 2 次手术切除，但她的足跟部仍有多个囊肿存在。2019 年 2 月手术切除后 17 个月，患者仍无囊肿。
