Giant Epidermoid Cyst: A Case Report and Literature Review

Abstract

Epidermoid cyst is a common benign tumour of the skin. Giant epidermoid cyst is rarely seen in this modern day due to improvements in healthcare system and health awareness amongst society. We would like to share a case report on our experience in successfully managing a patient with giant epidermoid cyst at an unusual location from the initial presentation up to the post operative follow up care. A 70 years old gentleman was referred from our primary healthcare clinic with complains of a huge swelling over the left gluteal region. Taking into account the clinical and radiological findings, he was planned for excision biopsy and surgery went smoothly without any complications. Intraoperatively there was 2 swellings with 600mls of cheesy content and the specimen was sent for histopathological (HPE) analysis. 2 vacuum drains were inserted intraoperatively. Radiological imaging modalities are of great value in managing these soft tissue lesions thus we have briefly described the advantage of each relevant imaging from a simple radiograph up to magnetic resonance imaging (MRI). We hope that this article will help clinicians differentiate benign from malignant tumours and have a schematic idea on the management soft tissue tumours mainly epidermoid cyst.