Dheeraj Makkar*

NC Medical College and Hospital, Panipat, Haryana, India

*Corresponding Author: Dheeraj Makkar, NC Medical College and Hospital, Panipat, Haryana, India.

Received: April 11, 2022; Published: June 08, 2022

Abstract

Background: Epidermoid cysts are cutaneous cysts frequently observed among farmers, factory workers, carpenters, and tailors due to their occupations' predilection for repetitive minor hand trauma.

Case Presentation: A 66-year-old male laborer presented to our hospital with a swelling on the palmar aspect of his right middle finger. The swelling was accompanied by pain and an inability to work over the previous four months. A 2.5 cm × 2.5 cm smooth, tender, immobile, non-compressible hard swelling was detected just above the middle phalanx during the clinical examination on the volar aspect of the right middle finger. The diagnosis was confirmed by histopathology after excision. The patient's range of motion improved significantly following surgery, and his pain subsided.

Conclusion: We present a novel location for an epidermal inclusion cyst and the importance of histopathologic evaluation in this case. Additionally, we emphasize the significance of extensively checking the cyst's epithelium to guarantee complete capsule removal and rule out any additional pathology.

Keywords: Epidermoid Cyst; Keratin; Histopathology; Middle Phalanx; Hand

References

1. Saraf S. “Implantation dermoid of the palm: An unusual presentation”. Indian Dermatology Online Journal 1 (2012): 37-39.
2. Park HS., et al. “Association of human papillomavirus infection with palmoplantar epidermal cysts in Korean patients”. Acta Dermato-Venereologica 5 (2005): 404-408.
3. Weir CB and St Hilaire NJ. “Epidermal Inclusion Cyst”. Treasure Island (FL): StatPearls Publishing (2022).
4. Swygert KE., et al. “Melanoma in situ involving an epidermal inclusion (infundibular) cyst”. The American Journal of Dermatopathology 6 (2007): 564-565.
5. Nigam JS., et al. Epidermal Cysts: A Clinicopathological Analysis with Emphasis on Unusual Findings”. International Journal of Trichology3 (2017): 108-112.

Citation

Citation: Dheeraj Makkar. “Middle Phalanx Epidermoid Cyst, an Unusual Site: A case report".Acta Scientific Orthopaedics 5.7 (2022): 17-20.

Copyright

Copyright: © 2022 Dheeraj Makkar. 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.