Epidermal inclusion cyst - anterior chest wall

Case contributed by Maulik S Patel
Diagnosis almost certain


Left anterior chest wall lesion - more than 10 years. No pain.

Patient Data

Age: 55 years
Gender: Male

There is an encapsulated lesion at the site of swelling in the anterior chest wall. The lesion abuts skin as well as the underlying pectoralis muscle, and it lies in the subcutaneous plane. There are anechoic clefts/globules in the lesion along with tiny echogenic lines/dots. The lesion is mildly compressible and avascular. The perilesional subcutaneous fat shows a normal echopattern.

Case Discussion

Anterior chest wall lesion shows classic ultrasound findings of epidermal inclusion cyst. However, there is no histopathology follow-up.

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