First Department of Pediatric Surgery, Aristotle University of Thessaloniki Greece, General Hospital "G. Gennimatas", Thessaloniki, Greece.
Acta Med Acad. 2022 Dec;51(3):209-211. doi: 10.5644/ama2006-124.390. Epub 2022 Nov 30.
The aim of the work was to show a Cutaneous Ciliated Cyst (CCC) in an unusual location in a 16-month-old girl.
We present the case of a 16-month otherwise healthy girl presented to our hospital, with a report of a palpable mass in the left suprascapular region. Physical examination revealed a soft-textured, fluctuating, mobile and painless entity, with no further indications of local inflammation. The mass was totally excised, under general anesthesia, for both diagnostic and therapeutic purposes. According to the histopathological findings, the cystic lesion was covered by a pseudostratified ciliary epithelium, resembling the epithelium of a normal fallopian tube, surrounded by a smooth muscle layer. Immunohistochemical studies identified the cyst epithelium as having cytokeratin (CKAE1/AE3) expression, despite the negative immunostaining findings on Estrogen and Progesterone Receptors.
Our case report concerns a CCC in an unusual position, in the suprascapular area. After a thorough review of the international literature, we concluded that this is the second published case regarding this specific location. To our knowledge our patient is the youngest ever diagnosed with CCC.
本研究旨在展示一例发生于 16 个月大女婴肩胛上方区域的罕见部位皮肤纤毛囊肿。
我们报告了一例 16 个月大的健康女婴病例，因左肩胛上方可触及包块就诊于我院。体格检查发现质地柔软、波动感、可移动且无痛的实体肿块，无局部炎症的其他迹象。为明确诊断和治疗目的，在全身麻醉下完全切除了该肿块。根据组织病理学检查，囊状病变被假复层纤毛上皮覆盖，类似于正常输卵管的上皮，周围有平滑肌层。免疫组织化学研究表明囊状上皮表达细胞角蛋白（CKAE1/AE3），尽管雌激素和孕激素受体的免疫染色结果为阴性。
我们的病例报告涉及肩胛上方区域罕见部位的皮肤纤毛囊肿。在对国际文献进行全面回顾后，我们得出结论，这是该特定部位的第二例报道。据我们所知，我们的患者是目前诊断出的年龄最小的皮肤纤毛囊肿患者。
