๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Histology/misdiagnosis
Histology/misdiagnosis
Solid tumors may masquerade as a typical epidermal cyst. Proliferating pilar tumors often mimic pilar cysts, and even though they are usually benign, malignant transformation with local invasion and metastasis has been described.17 If a solid tumor is suspected during minimal excision, it should be removed en bloc and sent for pathologic evaluation. Regardless of technique used and degree of clinical suspicion, all cysts that are removed surgically should be sent for histopathology.
CONCLUSIONS
Dermatologic surgeons are frequently called upon to remove cysts, which present a common patient complaint. Proper patient selection and preoperative management may be invaluable in selecting the ideal candidates for surgical intervention. Several fundamental techniques are available to the dermatologic surgeon, from small punch excisions of simple cysts to wide elliptical excisions of previously inflamed or manipulated cystic masses. Additionally, the differential diagnosis of subcutaneous cystic nodules remains broad, and malignant mimickers must be always considered. Surgeons should be particularly alert to rapidly growing cystic masses, which may be a harbinger of malignancy, and should always be removed.