What is the differential diagnosis for an epidermoid cyst? Differential diagnoses for an epidermoid cyst include: Lipoma — a mobile 2–10 cm dome or egg-shaped subcutaneous lump with a rubbery or soft and smooth consistency.
Depending on the anatomical area of the suspected epidermoid inclusion cysts, the differential diagnosis includes pilar cyst, lipoma, abscess, neuroma, benign growths, skin carcinomas, metastatic cutaneous lesions, pilomatrixoma, ganglion cyst, neurofibroma, dermoid cyst, brachial cleft cyst, pilonidal cyst, calcinosis ...
Dermoids may contain hair, teeth, and skin glands. Epidermoids typically contain only epidermal tissue and keratin debris. These can occur anywhere on the head although they are most commonly found on the forehead, soft spot (anterior fontanel), or in the back of the head behind the ears.
Dermoid cyst must be differentiated from teratoma, as well as other common benign tumors that develop in the head and neck, ovaries, or spine (such as pilar cysts, steatocystoma, pilomatrixoma, encephalocele, vascular malformations, lipoleiomyoma, pilonidal cyst, and lipoma).
Multiple epidermoid cysts suggest a genetic background. They can occur in Gardner syndrome caused by mutations in the adenomatous polyposis coli gene [14], or in Lowe syndrome, an X-chromosomal oculo-cerebral-renal disorder caused by mutations of the OCLR1-gene [15].
The differential diagnosis for toxic epidermal necrolysis includes staphylococcal scalded skin syndrome, drug-induced linear immunoglobulin A dermatosis, acute graft versus host disease, acute generalized exanthematous pustulosis, erythroderma, drug reaction with eosinophilia and systemic symptoms, and most commonly, a ...
Dermoid cysts are usually identified by an ultrasound scan. They are easily confused with haemorrhagic cysts which go will resolve spontaneously. Ultrasound scans are often incorrectly interpreted, because many people doing scans don't have enough experience and expertise.
These cysts are more common in adults than in children. Sometimes, epidermoid cysts are called sebaceous cysts. This is not correct because the contents of the two types of cysts are different. Epidermoid cysts are filled with dead skin cells, while true sebaceous cysts are filled with yellowish oily material.
The two most common lesions that come in the differential diagnosis include inflamed dentigerous cyst and hyperplastic dental follicle, entities discussed below. Dentigerous cysts with inflammatory changes can appear identical to radicular cysts but here the radiographic/clinical findings are required for separation.
The differential diagnosis for pain in women with ovarian cysts include tubo-ovarian abscess, ruptured ectopic, ruptured hemorrhagic cyst, and ovarian torsion. If the patient with pain is at low risk of a surgical emergency, pain medication and outpatient management is appropriate.
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