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http://dx.doi.org/10.5125/jkaoms.2011.37.3.237

Iatrogenic epidermoid cyst in the parotid gland: A case report  

Lee, Choong-Sang (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Gangnam Severance Hospital))
Kim, Hyoung-Keun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Gangnam Severance Hospital))
Lim, Jae-Hyung (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Gangnam Severance Hospital))
Jeon, Kug-Jin (Department of Oral and Maxillofacial Radiology, College of Dentistry, Yonsei University)
Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University (Gangnam Severance Hospital))
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.37, no.3, 2011 , pp. 237-240 More about this Journal
Abstract
Epidermoid cysts presents as a nodular and fluctuant subcutaneous lesion beneath the skin and are most common in acne-prone areas of the head, neck and back. This cyst often arises after localized inflammation of the hair follicle and occasionally after the implantation of epithelium following trauma and surgery including a biopsy procedure. It is often associated with Gardner syndrome, particularly before puberty. The lesion is normally treated by a surgical excision or enucleation, and recurrence is uncommon. A 27 year old woman complained of a swelling of the left parotid gland when she visited our clinic. A cystic lesion was found in the left parotid gland from the high signal intensity on the MR images. Ultrasonography showed that the cystic lesion was heterogeneous echogenic. Six months earlier, botulinum toxin was injected in her left masseter muscles six months earlier and progressive swelling of the left parotid area was noticed four months after treatment. The lesion was surgically removed. It was encapsulated by a thin wall and filled mainly with keratin. The final diagnosis was an epidermoid cyst.
Keywords
Epidermoid cyst; Parotid gland; Botulinum toxin; Injections;
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1 Tidmore T, Hirschi S, Chang CW. Floor of the mouth epidermoid cyst enlarging after pregnancy. J Otolaryngol Head Neck Surg 2009;38:E124-6.
2 Nalini G, Nandita K, Satyawati M, Jaimanti B. Squamous cell carcinoma in a mucosal epithermal inclusion cyst. J Otolaryngol 2004;33:271-2.   DOI   ScienceOn
3 Van Epps KJ, Kuszyk BS, Hofmann LV, Fishman EK. Epidermoid inclusion cysts seen on CT of a patient with Gardner's syndrome. AJR Am J Roentgenol 1999;173:858-9.   DOI   ScienceOn
4 Narisawa Y, Kohda H. Cutaneous cysts of Gardner's syndrome are similar to follicular stem cells. J Cutan Pathol 1995;22:115-21.   DOI   ScienceOn
5 Richardson GS, Clairmont AA, Erickson ER. Cystic lesions of the parotid gland. Plast Reconstr Surg 1978;61:364-70.   DOI   ScienceOn
6 Al-Khateeb TH, Al-Masri NM, Al-Zoubi F. Cutaneous cysts of the head and neck. J Oral Maxillofac Surg 2009;67:52-7.
7 Fliss DM, Puterman M, Tovi F. Iatrogenic cholesteatoma of the neck. Head Neck 1989;11:558-61.   DOI   ScienceOn
8 Tovi F, Bartal N, Zirkin C. Epidermal cysts of temporal fossa: an unusual complication of ear surgery. Ann Otol Rhinol Laryngol 1985;94:162-4.   DOI
9 Thompson AC, Bradley PJ. Iatrogenic epidermoid cyst of the parotid region following ear surgery. J Laryngol Otol 1991;105:227-8.   DOI
10 Handa U, Chhabra S, Mohan H. Epidermal inclusion cyst:: cytomorphological features and differential diagnosis. Diagn Cytopathol 2008;36:861-3.   DOI   ScienceOn