Epidermal inclusion cyst

Case contributed by Mahmoud Eladly
Diagnosis almost certain

Presentation

Presented with painless slowly progressive swelling on back.

Patient Data

Age: 40 years
Gender: Male
ultrasound

Sharply defined heterogenous hypoechoic cutaneous lesion bulging into the subcutaneous tissues.

Distal acoustic enhancement.

No internal vascularity.

Case Discussion

Epidermal inclusion cyst is a cutaneous lesion that presents as a painless swelling mostly commonly in hairy areas such as the scalp, face, trunk etc. Color Doppler shows no vascularity unless the cyst is ruptured. Twinkle artefact on color Doppler ultrasound is common and highly specific.

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