PELVIC EPIDERMOID CYST IN A TEENAGER: AN EXTREMELY RARE CLINICAL CASE
Abstract
Epidermoid cysts are defi ned as benign tumors of the skin that evaluate from the ectodermal germ layer. Typical localization is face, neck, scalp, hands, and much less frequently described unusual locations: brain, gonads, spleen, kidneys. The evolution of cysts of atypical localization is associated with impaired migration of ectoderm cells during embryogenesis. An epidermoid cyst in the child’s pelvic is an extremely rare clinical case. In the available literature, only two descriptions of epidermal cysts of pelvic localization among children are found. The clinical course of epidermoid cysts can be asymptomatic or accompanied by pain, lower urinary tract symptoms, disruption of internal organs. Indications for surgical treatment of such cysts are their possible inflammation, compression of neighboring organs with disruption of their function, and an extremely low but probable risk of malignancy. We present a clinical case of successful minimally invasive treatment of a 17-year-old boy with a pelvic epidermoid cyst, suff ering from long-term abdominal pain syndrome.
References
Прохоров А.В. Эпидермоидные кисты мошонки и полового члена. Казанский медицинский журнал. 2016;97(3):405–9. DOI: 10.17750/KMJ2016-405.
Jain P., Pal D.K. Pelvic epidermoid cyst: A rare cause of lower urinary tract symptoms. BMJ Case Rep. 2018;2018:bcr-2017-223258. DOI: 10.1136/bcr-2017-223258.
Hyseni NSh., Llullaku S.S., Koçinaj D.H., Jashari H.J., Kelmendi B.Z. An unusual location of retroperitoneal epidermoid cyst in a child: case report and a review of the literature. Cases J. 2009;2:9397. DOI: 10.1186/1757-1626-2-9397.
Fdili Alaoui F.Z., Oussaden A., Bouguern H., El. Fatemi H., Melhouf M.A., Amarti A. et al. Giant pelvic retroperitoneal epidermoid cyst: a rare case report. Case Rep Med. 2012;2012:1–4. DOI: 10.1155/2012/981387.
Fakhir B., Mamouni N., Bouramdane N., Bouchikhi C., Bouguern H., Chaara H. et al. A rare case of a giant pelvic retroperitoneal epidermoid cyst. Libyan J Med. 2009;4(2):61. DOI: 10.4176/090210.
Kato Y., Fukumoto H., Kasagawa Y., Tsujii K., Izumura A., Araki K. et al. A case of presacral epidermal cyst accompanying malformation of urogenital structure in the left side (in Japanese). Sanka to Fujinka (Gynecol Obset). 1981;43(11):1530–1534.
Dockerty M.B, Priestley J.T. Dermoid Cysts of the Testis. The Journal of Urology. 1942;48(4):392–400. DOI:10.1016/s0022-5347(17)70726-4.
Ueda K., Tsunoda A., Nakamura A., Kobayashi H., Shimizu Y., Kusano M. et al. Presacral epidermoid cyst: report of a case. Surg Today. 1998;28(6):665–8. DOI: 10.1007/s005950050205.
Riojas C.M., Hahn C.D., Johnson E.K. Presacral epidermoid cyst in a male: a case report and literature review. J Surg Educ. 2010;67(4):227–32. DOI: 10.1016/j.jsurg.2010.06.005.
Midorikawa Y., Kubota K., Koyama H., Watanabe S., Kawai K., Kajiura N. Presacral epidermal cyst: a report of an adult case. Hepatogastroenterology. 1996;43(11):1399–402.
Курицын В.М., Доманин А.А., Гуськова О.Н. Морфологическая характеристика опухолей из эпидермальных кист. Сибирский онкологический журнал. 2006;S1:59.
Конюх Е.А., Андросюк А.Г., Приходько В.С. Структура первичной детской инвалидности. Детская медицина Северо-Запада. 2020;8:178. EDN: RCRDLV.
Костылев А.А., Силков Б.В., Белогурова М.Б. Новообразования как одна из причин синдрома пальпируемой опухоли у детей. Педиатр. 2016;7:121–6. DOI: 10.17816/PED72121-126.
Осташева С.В. Анализ деятельности онкологической помощи в Санкт-Петербурге в 2020 году. Материалы Всероссийской научно-практической конференции «Эффективное управление и контроль в здравоохранении». СПб.: Военно-медицинская академия им. С.М. Кирова; 2022:69–74.
