Anand Bhandary Panambur¹* and Ashok Hegde²

¹Assistant Professor, A.J. Institute of Medical Sciences and Research Center, Mangalore, India
²Professor, Department of General Surgery, A.J. Institute of Medical Sciences and Research Center, Mangalore, India

*Corresponding Author: Anand Bhandary Panambur, Assistant Professor, A.J. Institute of Medical Sciences and Research Center, Mangalore, India.

Received: January 15, 2025; Published: February 21, 2025

Abstract

A variety of pathologic entities comprise neck cysts. Epidermoid cysts are benign tumors with cystic cavities surrounded by simple squamous epithelium. The age of presentation and the clinical examination aid in narrowing the differential diagnosis, but imaging is required for a precise diagnosis and for pre-treatment planning. Ultrasound is commonly used for preliminary analysis. Fine-needle aspiration cytology (FNAC) plays a supporting role for diagnosis confirmation. Seven percent of all occurrences of epidermoid and dermoid cysts occur in the head and neck. The more prevalent cystic lesions in this area frequently present a diagnostic conundrum. Surgical excision is the best modality of treatment for this type of lesion. According to a review of both recent and historical research, dermoid and epidermoid cysts in the head and neck are less common, making up only 1.69–69% of all cases. Due to their rarity in this location, suprasternal epidermoid cysts can pose diagnostic challenges and may be misdiagnosed. Accurate diagnosis typically involves imaging studies such as ultrasonography and computed tomography (CT) scans, supplemented by fine needle aspiration, with confirmation through excision biopsy.
We are presenting the case of a 32-year-old man who visited our institute's outpatient department (OPD) with the primary complaint of a two-year-old, gradually progressive suprasternal swelling in the midline. The patient had visited a nearby hospital. An epidermal inclusion cyst was suggested by FNAC performed at the nearby hospital. The patient had high frequency ultrasound, which was again suggestive of a epidermoid cyst. The excision biopsy of the cyst was performed at our hospital under General Anesthesia. The sebaceous cyst diagnosis was validated by histopathology. Histologically, epidermoid cysts are benign lesions identified by cystic areas containing skin adnexa and lined by simple squamous epithelium.

Keywords: Sebaceous Cyst; Midline Suprasternal Neck Mass; Epidermal Inclusion Cyst; Excision Biopsy

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Citation

Citation: Anand Bhandary Panambur and Ashok Hegde. “Suprasternal Sebaceous Cyst in a Young Male Adult: A Rare Case Report". Acta Scientific Clinical Case Reports 6.3 (2025): 35-39.

Copyright

Copyright: © 2025 Anand Bhandary Panambur and Ashok Hegde. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.