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Epidermoid cysts

MedGen UID:
41829
Concept ID:
C0014511
Anatomical Abnormality
Synonym: Epidermoid cyst
SNOMED CT: Keratinizing cyst (399999000); Epidermoid cyst of skin (419603000); Epidermoid cyst (419893006); Epidermoid cyst (419670003); Keratinizing cyst (418630001); Keratinizing cyst of skin (418323001); Sebaceous cyst (417992006); Epidermal cyst (419670003); Keratin cyst (418630001); Epidermal cyst (419893006)
 
HPO: HP:0200040
Monarch Initiative: MONDO:0007547
OMIM®: 131600

Definition

Nontender, round and firm, but slightly compressible, intradermal or subcutaneous cyst measuring 0.5-5 cm in diameter. Epidermal cysts are intradermal or subcutaneous tumors, grow slowly and occur on the face, neck, back and scrotum. They usually appear at or around puberty, and as a rule an affected individual has one solitary or a few cysts. [from HPO]

Conditions with this feature

GAPO syndrome
MedGen UID:
98034
Concept ID:
C0406723
Disease or Syndrome
GAPO syndrome is the acronymic designation for a complex of growth retardation, alopecia, pseudoanodontia (failure of tooth eruption), and progressive optic atrophy (Tipton and Gorlin, 1984). Ilker et al. (1999) and Bayram et al. (2014) noted that optic atrophy is not a consistent feature of the disorder.
Pachyonychia congenita 2
MedGen UID:
314107
Concept ID:
C1721007
Disease or Syndrome
Pachyonychia congenita (PC) is characterized by hypertrophic nail dystrophy, painful palmoplantar keratoderma and blistering, oral leukokeratosis, pilosebaceous cysts (including steatocystoma and vellus hair cysts), palmoplantar hyperhydrosis, and follicular keratoses on the trunk and extremities.
Congenital hypotrichosis with juvenile macular dystrophy
MedGen UID:
316921
Concept ID:
C1832162
Disease or Syndrome
Hypotrichosis with juvenile macular degeneration (HJMD) is a very rare syndrome characterized by sparse and short hair from birth followed by progressive macular degeneration leading to blindness.
Familial adenomatous polyposis 1
MedGen UID:
398651
Concept ID:
C2713442
Disease or Syndrome
APC-associated polyposis conditions include (classic or attenuated) familial adenomatous polyposis (FAP) and gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS). FAP is a colorectal cancer (CRC) predisposition syndrome that can manifest in either classic or attenuated form. Classic FAP is characterized by hundreds to thousands of adenomatous colonic polyps, beginning on average at age 16 years (range 7-36 years). For those with the classic form of FAP, 95% of individuals have polyps by age 35 years; CRC is inevitable without colectomy. The mean age of CRC diagnosis in untreated individuals is 39 years (range 34-43 years). The attenuated form is characterized by multiple colonic polyps (average of 30), more proximally located polyps, and a diagnosis of CRC at a later age than in classic FAP. For those with an attenuated form, there is a 70% lifetime risk of CRC and the mean age of diagnosis is 50-55 years. Extracolonic manifestations are variably present and include polyps of the stomach and duodenum, osteomas, dental abnormalities, congenital hypertrophy of the retinal pigment epithelium (CHRPE), benign cutaneous lesions, desmoid tumors, adrenal masses, and other associated cancers. GAPPS is characterized by proximal gastric polyposis, increased risk of gastric adenocarcinoma, and no duodenal or colonic involvement in most individuals reported.
Mosaic variegated aneuploidy syndrome 2
MedGen UID:
481473
Concept ID:
C3279843
Disease or Syndrome
Mosaic variegated aneuploidy syndrome is an autosomal recessive disorder characterized by poor growth and variable phenotypic manifestations, such as facial dysmorphism and congenital heart defects, associated with mosaic aneuploidies resulting from defects in cell division (summary by Snape et al., 2011). See also MVA1 (257300), caused by mutation in the BUB1B gene (602860) on chromosome 15q15.

Professional guidelines

PubMed

Topuz B, Coğuplugil AE, Yılmaz S, Sarıkaya S, Zor M, Uğuz S, Kaya E, Bedir S
Arch Esp Urol 2020 Mar;73(2):126-131. PMID: 32124843
Juhn E, Khachemoune A
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Walsh C, Rushton HG
Urol Clin North Am 2000 Aug;27(3):509-18. doi: 10.1016/s0094-0143(05)70098-7. PMID: 10985150

Recent clinical studies

Etiology

Oh HJ, Eo MY, Sodnom-Ish B, Amponsah EK, Frimpong P, Myoung H, Kim SM
J Craniofac Surg 2023 Nov-Dec 01;34(8):2405-2409. Epub 2023 Jul 24 doi: 10.1097/SCS.0000000000009561. PMID: 37487139Free PMC Article
Li Z, Gui S, Zhao P, Bai J, Cao L, Cheng S, Liu C, Zhu H, Zhang Y, Li C
World Neurosurg 2022 Dec;168:e28-e33. Epub 2022 Aug 31 doi: 10.1016/j.wneu.2022.08.111. PMID: 36055616
Tooley AA, Tailor P, Tran AQ, Garrity JA, Eckel L, Link MJ
Indian J Ophthalmol 2022 Jun;70(6):2102-2106. doi: 10.4103/ijo.IJO_52_22. PMID: 35647991Free PMC Article
Kawaguchi M, Kato H, Matsuo M
Radiol Med 2019 Oct;124(10):1049-1061. Epub 2019 Jul 3 doi: 10.1007/s11547-019-01060-6. PMID: 31270724
Perniciaro C
Dermatol Clin 1995 Jan;13(1):51-6. PMID: 7712650

Diagnosis

Oh HJ, Eo MY, Sodnom-Ish B, Amponsah EK, Frimpong P, Myoung H, Kim SM
J Craniofac Surg 2023 Nov-Dec 01;34(8):2405-2409. Epub 2023 Jul 24 doi: 10.1097/SCS.0000000000009561. PMID: 37487139Free PMC Article
Tooley AA, Tailor P, Tran AQ, Garrity JA, Eckel L, Link MJ
Indian J Ophthalmol 2022 Jun;70(6):2102-2106. doi: 10.4103/ijo.IJO_52_22. PMID: 35647991Free PMC Article
McNutt SE, Mrowczynski OD, Lane J, Jafrani R, Rohatgi P, Specht C, Tubbs RS, Zacharia TT, Rizk EB
World Neurosurg 2021 Jan;145:480-491.e9. Epub 2020 Aug 19 doi: 10.1016/j.wneu.2020.08.092. PMID: 32822959
Kawaguchi M, Kato H, Matsuo M
Radiol Med 2019 Oct;124(10):1049-1061. Epub 2019 Jul 3 doi: 10.1007/s11547-019-01060-6. PMID: 31270724
Rubenstein RA, Dogra VS, Seftel AD, Resnick MI
J Urol 2004 May;171(5):1765-72. doi: 10.1097/01.ju.0000123083.98845.88. PMID: 15076274

Therapy

Kim MS, Lee M, Lee JC, Sung ES
Ear Nose Throat J 2024 May;103(5):NP256-NP258. Epub 2021 Oct 20 doi: 10.1177/01455613211053423. PMID: 34670428
Ren H, Li J, Xie X, Xu M, Yang Y, Gao X
Surg Infect (Larchmt) 2022 Dec;23(10):908-916. Epub 2022 Nov 14 doi: 10.1089/sur.2022.223. PMID: 36374320Free PMC Article
Yu J, Tang R, Ding K
Sci Rep 2022 Aug 9;12(1):13563. doi: 10.1038/s41598-022-16876-y. PMID: 35945421Free PMC Article
Siller S, Egensperger R, Szelenyi A, Tonn JC, Zausinger S, Schichor C
Acta Neurochir (Wien) 2020 Nov;162(11):2895-2903. Epub 2020 Jun 10 doi: 10.1007/s00701-020-04446-y. PMID: 32524245
Park JS, Ko DK
Int J Clin Exp Pathol 2013;6(2):242-8. Epub 2013 Jan 15 PMID: 23330009Free PMC Article

Prognosis

Li Z, Gui S, Zhao P, Bai J, Cao L, Cheng S, Liu C, Zhu H, Zhang Y, Li C
World Neurosurg 2022 Dec;168:e28-e33. Epub 2022 Aug 31 doi: 10.1016/j.wneu.2022.08.111. PMID: 36055616
Tooley AA, Tailor P, Tran AQ, Garrity JA, Eckel L, Link MJ
Indian J Ophthalmol 2022 Jun;70(6):2102-2106. doi: 10.4103/ijo.IJO_52_22. PMID: 35647991Free PMC Article
Wang X, Gao J, Wang T, Li Z, Li Y
J Spinal Cord Med 2020 Jul;43(4):512-517. Epub 2018 Dec 5 doi: 10.1080/10790268.2018.1553008. PMID: 30517826Free PMC Article
Miyazaki H, Caye-Thomasen P
Adv Otorhinolaryngol 2018;81:123-132. Epub 2018 Apr 6 doi: 10.1159/000485577. PMID: 29794451
Perniciaro C
Dermatol Clin 1995 Jan;13(1):51-6. PMID: 7712650

Clinical prediction guides

Li Z, Gui S, Zhao P, Bai J, Cao L, Cheng S, Liu C, Zhu H, Zhang Y, Li C
World Neurosurg 2022 Dec;168:e28-e33. Epub 2022 Aug 31 doi: 10.1016/j.wneu.2022.08.111. PMID: 36055616
Tooley AA, Tailor P, Tran AQ, Garrity JA, Eckel L, Link MJ
Indian J Ophthalmol 2022 Jun;70(6):2102-2106. doi: 10.4103/ijo.IJO_52_22. PMID: 35647991Free PMC Article
McNutt SE, Mrowczynski OD, Lane J, Jafrani R, Rohatgi P, Specht C, Tubbs RS, Zacharia TT, Rizk EB
World Neurosurg 2021 Jan;145:480-491.e9. Epub 2020 Aug 19 doi: 10.1016/j.wneu.2020.08.092. PMID: 32822959
Prior A, Anania P, Pacetti M, Secci F, Ravegnani M, Pavanello M, Piatelli G, Cama A, Consales A
World Neurosurg 2018 Dec;120:119-124. Epub 2018 Sep 3 doi: 10.1016/j.wneu.2018.08.197. PMID: 30189303
Miyazaki H, Caye-Thomasen P
Adv Otorhinolaryngol 2018;81:123-132. Epub 2018 Apr 6 doi: 10.1159/000485577. PMID: 29794451

Recent systematic reviews

Donofrio CA, Bertazzoni G, Riccio L, Pinacoli A, Pianta L, Generali D, Ungari M, Servadei F, Roncaroli F, Fioravanti A
World Neurosurg 2024 Feb;182:83-90. Epub 2023 Nov 22 doi: 10.1016/j.wneu.2023.11.057. PMID: 37995988
Loy LM, Aftab S, Ang YLS, Ding SLC, Ho CL
Clin Imaging 2022 Nov;91:1-8. Epub 2022 Aug 4 doi: 10.1016/j.clinimag.2022.08.002. PMID: 35961175
Miao X, Li Y, Zhou T, Lv M
Asian J Surg 2021 Dec;44(12):1503-1509. Epub 2021 Apr 21 doi: 10.1016/j.asjsur.2021.03.016. PMID: 33893031
Khan AB, Goethe EA, Hadley CC, Rouah E, North R, Srinivasan VM, Gallagher KK, Fuentes A, Vaz-Guimaraes F
World Neurosurg 2019 Oct;130:110-114. Epub 2019 Jul 5 doi: 10.1016/j.wneu.2019.06.205. PMID: 31284058
Chung LK, Beckett JS, Ong V, Lagman C, Nagasawa DT, Yang I, Kim W
World Neurosurg 2017 Sep;105:689-696. Epub 2017 Jun 12 doi: 10.1016/j.wneu.2017.06.037. PMID: 28619489

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