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Miscellaneous conditions affecting the genitalia
Published in Shiv Shanker Pareek, The Pictorial Atlas of Common Genito-Urinary Medicine, 2018
It is necessary to exclude other masses which may occur in the scrotum, including: sebaceous cyst (also called an epidermal cyst) – sloughed material from the skin surface blocking a sebaceous gland, forming a cyst.hydrocoele – an accumulation of fluid around the testicle.haematocoele – a collection of blood around the testis which may be painful.spermatocoele (also called an epididymal cyst) – an out-pouching of tissue from the epididymis, usually containing spermatozoa.varicocoele – enlargement or dilation of veins in the scrotum.testicular tumour – a cancer common in young males and usually malignant: seminoma is the most frequently occurring type.
Specific applications: Radiofrequency commonality
Published in Bipin Deshpande, Dermatologic Surgery with Radiofrequency, 2018
Sebaceous cysts are quite commonly seen in practice. Being harmless, patients usually do not bother to treat them unless infected. These are commonly seen on the scalp, face, neck, chest, and back. They can be removed by two methods explained next. See Figures 13.46 to 13.49.
Cutaneous pleomorphic adenoma of the periocular region – a case series
Published in Orbit, 2022
Micheal A. O’Rourke, Paul S. Cannon, Joseph F. Shaw, Luciane C. Irion, Penelope A. McKelvie, Alan A. McNab
Clinical features of periocular pleomorphic adenoma can be non-specific and because of their rarity, these are often misdiagnosed.1 All cases in this series were males presenting with painless, firm, non-ulcerated masses increasing in size over a number of months. Such lesions should be included in the differential diagnosis of periorbital lesions including chalazion, nevus, epidermal inclusion cyst, sebaceous cyst, dermoid cyst, schwannoma, neurofibroma, benign mixed tumour of accessory lacrimal gland, pilomatrixoma and nodular basal cell carcinoma.11,13 These cases highlight the importance of obtaining a histological diagnosis for atypical periocular lesions to obtain a diagnosis, ensure complete excision and identify any suspicious features. We recommend if complete primary excision is not achieved, further excision to obtain a clear margin to remove the entire lesion should be undertaken.
Pediatric Bronchogenic Cysts: A Case Series of Six Patients Highlighting Diagnosis and Management
Published in Journal of Investigative Surgery, 2020
Jason E. Cohn, Kimberly Rethy, Rajeev Prasad, Judy Mae Pascasio, Katie Annunzio, Seth Zwillenberg
A 16-month-old male with no past medical history presented to the outpatient Otolaryngology-Head and Neck Surgery office with a midline cutaneous neck mass. The mass had been present since birth and was slowly increasing in size. This mass was painless and was never infected. Pertinent negatives included the absence of dysphagia, dyspnea, hoarseness and noisy breathing. On physical examination there was a 3 mm × 2 mm pedunculated, subcutaneous mass slightly superior to the sternal notch in the midline. No sinus tract was palpable and there was no cervical lymphadenopathy. Due to the superficial nature of this mass, laboratory testing was not felt to be necessary. The differential diagnosis for this patient included bronchogenic cyst, thyroglossal duct cyst, dermoid cyst, abscess, sebaceous cyst, and a variety of skin neoplasms.
Eyelid syringocystadenoma papilliferum: A novel presentation with major review
Published in Orbit, 2018
Michael C Tseng, Bijal Amin, Anne Barmettler
Twenty-six patients with SCAP of the eyelid were identified and their clinical features are summarized (see Table 1). Of these 26 patients, age at presentation ranged from 8 to 82 with the average age being 43.9 years, with five patients lacking demographic information. There were a larger number of women than men affected: 62% (n = 13/21) were female and 38% (n = 8/21) were male. The duration of these lesions prior to presentation was between 2 months and 70 years with an average duration of 24.3 years. Symptoms included recent rapid growth of the mass, localized swelling, pruritus, discomfort, and bleeding. On clinical examination, SCAP presents as fleshy, verrucous, ulcerated, crusted, nodular, papular, and cystic and the size ranges from 4 to 25 mm. Due to its nonspecific appearance, SCAP has been misdiagnosed as basal cell carcinoma, sebaceous cyst, recurrent chalazion, and hidrocystoma. On review of the literature, about a third of the cases are associated with benign lesions.14 Of these cases, no malignant transformations developed, and treatment with complete excision leads to no recurrence of the masses. Incomplete excisions, however, allowed tumor regrowth in three of three cases.