Multiple huge epidermal inclusion cysts mistaken as XXXX .

@entity1 @entity1032 @entity8650 @entity302 @entity4786
Epidermal inclusion cyst is one of the common @entity8650 , and it can be easily confirmed and treated by surgical excision. We experienced a @entity1 who had multiple masses on the face and scalp region, and the masses had been misdiagnosed as @entity4786 because of accompanying @entity1032 . We would like to introduce a case of clinical diagnosis error caused by the lack of radiologic evaluation and pathologic confirmation. A 27-year-old male @entity1 visited with multiple masses, with a length of approximately 1 to 10 cm on the face and scalp region. These mass have developed since childhood without known etiology, and there has been no histologic examination or surgical excision done in the past. The @entity1 's history of @entity302 and @entity1032 led the primary clinician to diagnose it as @entity4786 in the initial stage, and therefore, the clinician gave an advice on the possibility of frequent recurrence to the @entity1 . As the masses increased in size, the @entity1 came to our hospital after all. We found that the masses were soft and mobile through the physical examination, and magnetic resonance imaging showed evidence of epidermal inclusion cyst, which is distinguished from @entity4786 . Based on physical examination and magnetic resonance imaging, we performed total excision and biopsies. On the histologic examination, it was diagnosed as an epidermal inclusion cyst showing keratotic material internally, and the cyst wall was composed of lamellate keratin. The follow-up period was 12 months, and a recurrence has not occurred. The wound was healed without any specific complication, and both the @entity1 and the guardian were satisfied with the physical enhancement. We have observed a misdiagnosed case that was misconceived by the situation, accompanying @entity1032 . Due to this misconception, any surgical treatment was not performed at all, and the symptoms eventually worsened as multiple huge epidermal inclusion cysts. We present this case with a brief review of literature.
