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DOI: 10.5999/aps.2018.00017
Dermoid cysts: Epidemiology and diagnostic approach based on clinical experiences
This work was supported by a clinical research grant from Pusan National University Hospital in 2018.![](https://www.thieme-connect.de/media/10.1055-s-00051611/201806/lookinside/thumbnails/10_5999_aps_2018_00017_512-1.jpg)
Background Dermoid cysts are congenital tumors that are benign. Dermoid cysts with intracranial extension can cause serious neurological complications. It is important, therefore, to determine whether a patient has a dermoid cyst when their chief concern at a doctor’s visit is a mass in the head or neck area. In this study, we present a literature review of dermoid cysts and an analysis of the authors’ experiences, with the goal of providing guidance useful for the diagnosis and treatment of dermoid cysts.
Methods This study retrospectively analyzed the medical records of 62 patients who visited the two medical clinics with which the authors are affiliated. The patients were enrolled between October 2003 and January 2017.
Results Of the 62 patients analyzed in this study, 32 were 0 to 5 years of age (52%) and 23 were 17 years of age or older (37%). Forty-seven patients underwent 1 or more imaging study during the process of diagnosis. Thirty-two patients were suspected to have a dermoid cyst. Forty-nine patients were analyzed to determine the depth of the cyst. Bone was seen in 43 patients through imaging tests or during actual surgery, and nine of the 43 had bony problems (21%).
Conclusions This study found that dermoid cysts were present in many adults, and that a high rate of deep lesions was observed, as well as many cases in which even the bone was affected. These results suggest, therefore, that dermoid cysts should be considered, and medical professionals should actively conduct imaging studies.
Publication History
Received: 05 January 2018
Accepted: 01 November 2018
Article published online:
03 April 2022
© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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REFERENCES
- 1 Ray MJ, Barnett DW, Snipes GJ. et al. Ruptured intracranial dermoid cyst. Proc (Bayl Univ Med Cent) 2012; 25: 23-5
- 2 New GB, Erich JB. Dermoid cysts of the head and neck. Surg Gynecol Obstet 1937; 65: 48-55
- 3 Pryor SG, Lewis JE, Weaver AL. et al. Pediatric dermoid cysts of the head and neck. Otolaryngol Head Neck Surg 2005; 132: 938-42
- 4 Kim BY, Park JS, Kang MK. et al. A case of dermoid cyst in temporal bone. Korean J Otorhinolaryngol-Head Neck Surg 2007; 50: 1043-6
- 5 Crawford R. Dermoid cyst of the scalp: intracranial extension. J Pediatr Surg 1990; 25: 294-5
- 6 Sathananthan N, Moseley IF, Rose GE. et al. The frequency and clinical significance of bone involvement in outer canthus dermoid cysts. Br J Ophthalmol 1993; 77: 789-94
- 7 Richards AM. Key notes on plastic surgery. Oxford: Blackwell Publishing; 2002
- 8 Mann GS, Gupta A, Cochrane DD. et al. Occipital dermoid cyst associated with dermal sinus and cerebellar abscesses. Can J Neurol Sci 2009; 36: 487-90
- 9 Posnick JC, Bortoluzzi P, Armstrong DC. et al. Intracranial nasal dermoid sinus cysts: computed tomographic scan findings and surgical results. Plast Reconstr Surg 1994; 93: 745-54
- 10 Guerrissi JO. Endoscopic excision of frontozygomatic dermoid cysts. J Craniofac Surg 2004; 15: 618-22