Giant epidermal inclusion cyst of the thyroid: a rare occurrence

Samal, Swagatika; Sable, Mukund; Pradhan, Pradeep

doi:10.4322/acr.2021.318

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Sumário

Clinical Case Report and Review • Autops. Case Rep. 11 • 2021 • https://doi.org/10.4322/acr.2021.318 copy

Giant epidermal inclusion cyst of the thyroid: a rare occurrence

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Epidermal inclusion cyst (EIC) of the thyroid is extremely rare in the clinical practice. A handful of cases have been documented in the past in the world literature. A giant EIC of the thyroid is hitherto unreported. This lesion may arise from the squamous metaplasia of the thyroid follicular cells. Though non-neoplastic, giant forms can cause compression of the vital structures of the neck. In the present case, we have described a giant epidermal inclusion cyst successfully managed with surgical management.

Keywords
Epidermal Cyst; Rare Diseases; Thyroid Gland; Thyroidectomy

Authors	Age(y)/Sex	Presentation	Duration	Location	size	Cavity	TFT	CD	FNAC	Surgery	HP	Follow up
Impieri²2 Pandya KA, Radke F. Benign skin lesions: lipomas, epidermal inclusion cysts, muscle and nerve biopsies. Surg Clin North Am. 2009;89(3):677-87. http://dx.doi.org/10.1016/j.suc.2009.03.002. PMid:19465204. http://dx.doi.org/10.1016/j.suc.2009.03....	26/F	NS	NA	L	NA	UL	NA	NA	NA	Excision	EIC	NA
Sonnino³3 Impieri M, Russo R, Cappagli M, Cucchi I, Poggi P, Calcina GG. Epidermoid cyst of the thyroid: report of a case. Acta Chir Belg. 1987;87(6):385-6. PMid:3451639.	4/F	NS	NA	R	2.0	UL	NA	NA	NA	Lobectomy, Sistrunk	EIC	NA
Sonnino³3 Impieri M, Russo R, Cappagli M, Cucchi I, Poggi P, Calcina GG. Epidermoid cyst of the thyroid: report of a case. Acta Chir Belg. 1987;87(6):385-6. PMid:3451639.	9/F	NS	NA	L	3.0	UL	NA	NA	NA	Excision	EIC	NA
North⁴4 North JH Jr, Foley CAM, Hamill LRL. Intrathyroid cysts of thyroglossal duct origin. Am Surg. 1998;64(9):886-8. PMid:9731820.	78/M	NS	NA	I	2.0	UL	NA	NA	NSC	HT	EIC	NA
North⁴4 North JH Jr, Foley CAM, Hamill LRL. Intrathyroid cysts of thyroglossal duct origin. Am Surg. 1998;64(9):886-8. PMid:9731820.	58/M	NS	NA	R	1.0	UL	NA	NA	NSC	HT	EIC	NA
Hatada⁵5 Sonnino RE, Spigland N, Laberge JM, Desjardins J, Guttman FM. Unusual patterns of congenital neck masses in children. J Pediatr Surg. 1989;24(10):966-9. http://dx.doi.org/10.1016/S0022-3468(89)80192-7. PMid:2809966. http://dx.doi.org/10.1016/S0022-3468(89)...	50/F	NS	NA	R	4.4	UL	NA	NA	NSC	Lobectomy	EIC	NA
Salib⁶6 Hatada T, Ichii S, Sagayama K, et al. Intrathyroid thyroglossal duct cyst simulating a thyroid nodule. Tumori. 2000;86(3):250-2. http://dx.doi.org/10.1177/030089160008600313. PMid:10939607. http://dx.doi.org/10.1177/03008916000860...	60/M	D	3Y	L	3.0	UL	ET	Malignancy	NA	Lobectomy	EIC	NR at 6M
	60/M	NS	2W	L	3.0	UL	ET	Malignancy	NA	Lobectomy	EIC	NR at 6M
Chen⁷7 Salib RJ, Radcliffe G, Gallimore A. Intra-parenchymal thyroid epidermoid cyst presenting with a left recurrent laryngeal nerve palsy. J Laryngol Otol. 2001;115(3):247-9. http://dx.doi.org/10.1258/0022215011907127. PMid:11244541. http://dx.doi.org/10.1258/00222150119071...	54/M	NS	Incidental	R	3.2	UL			NSC	Lobectomy	EIC	NA
Bekele⁸8 Chen KTK. Fine-needle aspiration cytology of epidermoid cyst of the thyroid: report of a case and review of seven cases. Diagn Cytopathol. 2007;35(2):123-4. http://dx.doi.org/10.1002/dc.20592. PMid:17230574. http://dx.doi.org/10.1002/dc.20592...	27/M	NS	10Y	L	3.2	UL	ET	NA	Inadequate	HT	EIC	NA
Palombini⁹9 Bekele Y, Gerscovich EO, Naderi S, Bishop J, Gandour-Edwards RF, McGahan JP. Sonography of an epidermoid inclusion cyst of the thyroid gland. J Ultrasound Med. 2012;31(1):128-9. http://dx.doi.org/10.7863/jum.2012.31.1.128. PMid:22215780. http://dx.doi.org/10.7863/jum.2012.31.1....	38/F	^ Non palpable cold thyroid nodule.	NA	L	1.0	UL	NC	NA	NSC, ANSC	HT	EIC	NA
Rumberger¹⁰10 Palombini L, Cozzolino I, Luigi S, Pifano A. Fine needle cytology of intrathyroid epidermoid cyst. Diagn Cytopathol. 2015;43(5):390-1. http://dx.doi.org/10.1002/dc.23202. PMid:25132533. http://dx.doi.org/10.1002/dc.23202...	71/F	NS ^* * Gurgling sensation.	NA	R	1.3	UL	HpT	NA	NSC	Lobectomy	EIC	NA
Kuduban¹¹11 Rumberger LK, Mancini M, Curzon M, Orucevic A. Intrathyroidal epidermoid cyst associated with nodular Hashimoto’s thyroiditis: a rare pathologic finding in a common clinical entity. Am Surg. 2014;80(7):e205-6. http://dx.doi.org/10.1177/000313481408000710. PMid:24987887. http://dx.doi.org/10.1177/00031348140800...	28/M	NS	2Y		NA	NA	NA	NA	NA	Cystectomy	EIC	NR at 12M
Choure ¹²12 Kuduban O. Epidermal Inclusion cyst of thyroid gland. Eurasian J Med. 2015;47(1):78. PMid:25745353.	46/F	NS	6M	R	3.0	UL	ET	TC		HT	EIC	NR
Kulkarni¹³13 Choure DD, Nichat PD, Agarwal S, Turabi MA, Tayade MB. epidermal cyst presenting as a solitary thyroid nodule: a rare case report. J Clin Med Res. 2015;3:7139-42. http://dx.doi.org/10.18535/jmscr/v3i8.39. http://dx.doi.org/10.18535/jmscr/v3i8.39...	26/F	NS	6M	NA	3.0	UL	ET	NG	NSC,ANSC	HT	EIC	NA
Binayke¹⁴14 Kulkarni SS, Vyas AS. Thyroid epidermal cyst – a common cyst, rare site. NJMR. 2016;6:290-1.	26/F	NS	6-7 M	R	1.5	UL	ET	NCG	NSC,ANSC, Inflammatory cells	HT	EIC FBGC	NA
Mansi¹⁵15 Binayke R, Deshpande KP. Epidermal inclusion cyst of the thyroid gland: an uncommon entity. Int J Curr Res Med. 2017;3(3):72-5. http://dx.doi.org/10.22192/ijcrms.2017.03.03.009. http://dx.doi.org/10.22192/ijcrms.2017.0...	28/M	NS	10Y	R	6.0	UL	ET	CG	NSC,ANSC	HT	EIC	NR
Our case	46/F	NS	12Y	L	11.0	UL	ET	CC	NSC, ANSC	HT	EIC	NR at 18M
Our case	46/F	Dpg	12Y	L	11.0	UL	ET	CC	NSC, ANSC	HT	EIC	NR at 18M

Hospital Universitário da Universidade de São Paulo Hospital Universitário da Universidade de São Paulo, Av. Prof. Lineu Prestes, 2565 - Cidade Universitária, 05508-000 - São Paulo - SP - Brasil, (16) 3307-2068, (16) 3307-2068 - São Paulo - SP - Brazil
E-mail: autopsy.hu@gmail.com

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[1] Authors’ contributions: Swagatika Samal wrote the manuscript. Mukund Sable was in charge of the Pathological report and manuscript edition. Pradeep Pradhan edited the manuscript.