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肛门表皮样囊肿:一例罕见部位的病例报告

Epidermoid cyst in the anus: A case report of an unusual location.

作者信息

Alsaffaf Yousef, Aldolly Ahmed, Saeed Maisoun Shikh

机构信息

Faculty of Medicine, Hama University, Hama, Syria.

General Surgery Department, Hama National Hospital, Hama, Syria.

出版信息

Int J Surg Case Rep. 2024 Sep;122:110081. doi: 10.1016/j.ijscr.2024.110081. Epub 2024 Jul 31.

Abstract

INTRODUCTION AND IMPORTANCE

Epidermoid cysts are generally seen as benign skin conditions characterized by the formation of nodules that are enclosed and located just beneath the epidermal layer.

CASE PRESENTATION

This report presents the case of a 32-years-old woman with a mass that has been progressively growing for 11 years, situated at the right anal verge. The mass, which was asymptomatic throughout its development, was confirmed to be an epidermoid cyst.

CLINICAL DISCUSSION

Epidermoid cysts commonly present without clinical symptoms. Ultrasound is increasingly being employed for the initial assessment. However, CT and MRI scans provide more detailed and specific imaging features. Histopathological analysis can aid in the identification of an epidermoid cyst. Treatment is often unnecessary for epidermoid cysts that are small and uncomplicated; however, if intervention is required, a complete surgical removal with an intact cyst wall is typically the straightforward solution.

CONCLUSION

Epidermoid cysts are common and can manifest in various locations. When encountering a soft, well-defined mass in an atypical site for epidermoid cysts, it should be included in the differential diagnosis.

摘要

引言与重要性

表皮样囊肿通常被视为良性皮肤疾病,其特征是形成被包裹且位于表皮层下方的结节。

病例介绍

本报告呈现了一名32岁女性的病例,其在右肛门边缘有一个逐渐增大11年的肿物。该肿物在整个发展过程中无症状,经证实为表皮样囊肿。

临床讨论

表皮样囊肿通常无临床症状。超声越来越多地用于初始评估。然而,CT和MRI扫描提供更详细和特异的影像学特征。组织病理学分析有助于表皮样囊肿的识别。对于小且无并发症的表皮样囊肿,通常无需治疗;然而,如果需要干预,完整切除囊肿壁的完整手术切除通常是直接的解决办法。

结论

表皮样囊肿很常见,可出现在不同部位。当在表皮样囊肿的非典型部位遇到柔软、边界清晰的肿物时,应将其纳入鉴别诊断。

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