Dermoid cyst physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

Physical examination findings in patients with dermoid cyst may include a painless swelling that may be freely mobile or fixed to the skin and deeper structures. Congenital dermoid cysts localized to the scalp, neck or trunk are usually visible at birth. A tuft of hairs emanating from a midline nasal depression or nodule may represent a nasal dermoid cyst. A tarsal dermoid cyst may present as a firm, non tender nodule in the eyelid. Periorbital demoid cysts usually appear on the lateral aspect of the eyebrow. Dermoid cysts of the scalp or orbit may cause pressure erosion of the underlying bone which appears as a punched out defect in the skull x rays. A double-chin appearance is a common finding if the cyst develops below the mylohyoid muscle.[1][2][2][3][4][5]

Physical Examination

  • Physical examination findings in patients with dermoid cyst may include:[1][2][2][3][4][5]
    • Painless swelling that may be freely mobile or fixed to the skin and deeper structures.
    • A tuft of hairs emanating from a midline nasal depression or nodule may represent a nasal dermoid cyst.
    • A tarsal dermoid cyst may present as a firm, non tender nodule in the eyelid.
    • Periorbital demoid cysts usually appear on the lateral aspect of the eyebrow.
      • When the dermoid cyst appears on the medial aspect, the differential diagnosis of an encephalocele becomes higher.
    • Dermoid cysts of the scalp or orbit may cause pressure erosion of the underlying bone which appears as a punched out defect in the skull x rays.
    • A double-chin appearance is a common finding if the cyst develops below the mylohyoid muscle.
    • Congenital dermoid cysts localized to the scalp, neck or trunk are usually visible at birth.

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References

  1. 1.0 1.1 Madke B, Nayak C, Giri A, Jain M (2013). "Nasal dermoid sinus cyst in a young female". Indian Dermatol Online J. 4 (4): 380–1. doi:10.4103/2229-5178.120669. PMC 3853920. PMID 24350035.
  2. 2.0 2.1 2.2 2.3 Koreen IV, Kahana A, Gausas RE, Potter HD, Lemke BN, Elner VM (2009). "Tarsal dermoid cyst: clinical presentation and treatment". Ophthal Plast Reconstr Surg. 25 (2): 146–7. doi:10.1097/IOP.0b013e31819aae6e. PMID 19300165.
  3. 3.0 3.1 3.2 Dermoid cyst. Wikipedia.https://en.wikipedia.org/wiki/Dermoid_cyst.Accessed on February 22, 2016
  4. 4.0 4.1 Maurice SM, Burstein FD (2012). "Disappearing dermoid: fact or fiction?". J Craniofac Surg. 23 (1): e31–3. doi:10.1097/SCS.0b013e3182420981. PMID 22337456.
  5. 5.0 5.1 Makos C, Noussios G, Peios M, Gougousis S, Chouridis P (2011). "Dermoid cysts of the floor of the mouth: two case reports". Case Rep Med. 2011: 362170. doi:10.1155/2011/362170. PMC 3172983. PMID 21922020.


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