■囊肿,主要是表皮和毛虫,在临床实践中很常见。断裂,感染,炎症,罕见的恶性转化可能使囊肿复杂化。本研究旨在分析皮肤囊肿的临床组织学特征。
■对过去两年(2020-2021年)经组织病理学证实诊断为囊肿的患者进行了回顾性回顾。临床细节包括年龄,性别,现场参与,尺寸,持续时间,和相关症状。组织学检查包括囊肿壁衬里,角质化类型,像破裂这样的并发症,炎症,异物巨细胞反应,钙化,和恶性改变。
■共发现324例患者,平均年龄为37.9岁,性别分布相等。最常见的诊断是表皮囊肿占89.8%,8.9%的病例其次是毛膜囊肿。罕见类型包括滤泡杂交囊肿,疣状囊肿,毫毛囊肿,还有脂肪囊.最常见的并发症是54.3%的表皮囊肿的囊肿破裂。在1例和2例病例中注意到增生的表皮和增生的三囊囊肿。分别。2例显示表皮囊肿壁出现恶性肿瘤。
■回顾性研究设计和随访数据的不可用性,特别是对于增生性囊肿和恶性转化的囊肿是本研究的主要局限性。
切除的皮肤囊肿的组织病理学检查对于准确诊断囊肿的类型和相关的继发性改变以进行适当的治疗是至关重要的。
UNASSIGNED: Cysts, primarily epidermal and trichilemmal, are commonly seen in clinical practice. Rupture, infection, inflammation, and rarely malignant transformation may complicate the cysts. This study aims to analyze the clinicohistological features of cutaneous cysts.
UNASSIGNED: A retrospective review of patients with the diagnosis of cyst confirmed on histopathology over the past two years (2020-2021) was performed. Clinical details comprised of age, gender, site of involvement, size, duration, and associated symptoms. Histological examination included cyst wall lining, type of keratinization, complications like rupture, inflammation, foreign body giant cell reaction, calcification, and malignant change.
UNASSIGNED: A total of 324 cases with mean age of 37.9 years and equal gender distribution were identified. Most frequent diagnosis was epidermal cyst in 89.8%, followed by trichilemmal cyst in 8.9% of cases. Rare types included follicular hybrid cyst, verrucous cyst, vellus hair cyst, and steatocystoma. Most common complication was cyst rupture in 54.3% of epidermal cysts. Proliferating epidermal and proliferating trichilemmal cysts were noted in one and two cases, respectively. Two cases revealed malignancy arising in the wall of epidermal cyst.
UNASSIGNED: The retrospective study design and non-availability of follow-up data, especially for proliferating cysts and cysts with malignant transformation were the main limitations of this study.
UNASSIGNED: Histopathologic examination of excised cutaneous cysts is paramount in reaching accurate diagnosis of the type of cyst and associated secondary changes to enable appropriate management.