Dermoid cyst history and symptoms
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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
Congenital dermoid cysts localized to the scalp, neck or trunk are usually visible at birth and gradually grow in size. The majority of patients with ovarian dermoid cysts are asymptomatic. They are discovered incidentally on routine physical exam or imaging for other reasons.[1] Large ovarian dermoid cysts may present with abdominal pain or abdominal mass.[2] Symptoms of spinal dermoid cyst may include motor disturbances (hemiplegia), sensory disturbances, bowel and/or bladder dysfunction, fecal retention or incontinence, and urinary retention or incontinence. Headache is the most prominent symptom of intracranial dermoid cyst.[3] Symptoms of dermoid cysts of the floor of the mouth may include dysphagia, dysarthria, dyspnea (when the lesions are quiet large), and speech delay.[4]
History
- Congenital dermoid cysts localized to the scalp, neck or trunk are usually visible at birth and gradually grow in size.
- The majority of patients with ovarian dermoid cysts are asymptomatic.[5]
- Dermoid cysts are discovered incidentally on routine physical exam or imaging for other reasons.[1]
Symptoms
Ovarian Dermoid Cyst
- Ovarian dermoid cysts may present with:[1]
- Abdominal pain
- Abdominal mass
- Large dermoid cysts that may predispose to ovarian torsion may present with acute pelvic pain.[2]
- Less common symptoms of ovarian dermoid cysts may include bowel and bladder disturbances and backache.[6][1]
Spinal Dermoid Cyst
- Spinal dermoid cysts most commonly involve the lumbosacral region than the thoracic vertebrae and are extramedullary in location.[5]
- Symptoms of spinal dermoid cyst may include:[7][8]
- Pain
- Motor disturbances (hemiplegia)
- Sensory disturbances
- Bowel and/or bladder dysfunction
- Fecal retention or incontinence
- Urinary retention or incontinence
- Spinal dermoid cysts complicated by rupture may present with the following:[9]
- Headache
- Nausea, vomiting
- Vertigo
- Vision problems
- Mental changes
Intracranial Dermoid Cyst
- Headache is the most prominent symptom of intracranial dermoid cyst.[10]
- Less common symptoms of intracranial dermoid cysts include:
- Seizures
- Focal neurological deficits
- Motor disturbances
- Sensory deficits
Dermoid Cysts of the Floor of the Mouth
- Symptoms of dermoid cysts of the floor of the mouth may include:[4]
- Dysphagia
- Dysarthria
- Dyspnea (when the lesions are quiet large)
- Speech delay
References
- ↑ 1.0 1.1 1.2 1.3 Comerci JT, Licciardi F, Bergh PA, Gregori C, Breen JL (1994). "Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature". Obstet Gynecol. 84 (1): 22–8. PMID 8008317.
- ↑ 2.0 2.1 Mature (cystic) ovarian teratoma. Radiopedia. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma. Accessed on February 11, 2016.
- ↑ Intracranial dermoid cyst. Radiopedia. http://radiopaedia.org/articles/intracranial-dermoid-cyst-1. Accessed on February 11, 2016.
- ↑ 4.0 4.1 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.
- ↑ 5.0 5.1 Dermoid cyst. Wikipedia. https://en.wikipedia.org/wiki/Dermoid_cyst Accessed on February 4, 2016.
- ↑ PETERSON WF (1957). "Malignant degeneration of benign cystic teratomas of the overy; a collective review of the literature". Obstet Gynecol Surv. 12 (6): 793–830. PMID 13493921.
- ↑ Spinal dermoid cyst. Radiopedia. http://radiopaedia.org/articles/spinal-dermoid-cyst. Accessed on February 11, 2016.
- ↑ Sanaullah M, Mumtaz S, Memon AA, Hashim AS, Bashir S (2013). "Intramedullary dermoid cyst with relatively atypical symptoms: a case report and review of the literature". J Med Case Rep. 7: 104. doi:10.1186/1752-1947-7-104. PMC 3639845. PMID 23590721.
- ↑ Sharma M, Mally R, Velho V (2013). "Ruptured conus medullaris dermoid cyst with fat droplets in the central canal [corrected]". Asian Spine J. 7 (1): 50–4. doi:10.4184/asj.2013.7.1.50. PMC 3596585. PMID 23508636.
- ↑ Intracranial dermoid cyst. Radiopedia. http://radiopaedia.org/articles/intracranial-dermoid-cyst-1. Accessed on February 11, 2016.