Epidermal inclusion cyst - neck

Case contributed by Dr Maulik S Patel

Presentation

C/o right angle of mandible region swelling - 15 yrs. C/o local pain - 1 wk.

Patient Data

Age: about 70 yrs
Gender: Male
Ultrasound

Well-defined ovoid lesion is seen in region of interest.

Size       - 50 x 50 x 35 mm

Location - Subcutenous plane.

                 - Seperate from mabdible - muscle.

                  - Seperate from superfiicial lobe of parotid gland and submabdibular gland.             

Morphology: Hypoechoic, with few linear internal strands, no calcification, posterior acoustic enhancement is present ant it`s partly compressible.

Wall: 

  • Thin well-defined wall is noted surrounding most of lesion.
  • About 20 mm defect is noted on medial aspect .
  • Out side defect fluid echoes and lesion material is noted - 25 x 25 mm

Doppler: Perilesional flow is noted at site of leak. No perilesional flow is noted where wall is intact. No Flow in the lesion.      

Case Discussion

Leak from cyst causing local inflammation and pain.

PlayAdd to Share

Case information

rID: 24339
Case created: 8th Aug 2013
Last edited: 18th Dec 2015
System: Head & Neck
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.