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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 27-29 | Mike Parry, Anish Patel, Rajesh Botchu, Vaiyapuri S, Desai, Jeys Lee. Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1]. [1] Department of Orthopedic Oncology. [2] Department of Musculoskeletal Radiology, [3] Department of pathology,The […]

Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 25-26 | Sujit Joshi, Yogesh Panchwagh. Authors: Sujit Joshi [1], Yogesh Panchwagh [2]. [1] Dept. of Pathology Deenanath Mangeshkar Hospital and Research Centre, Pune [2] Orthopaedic Oncology Clinic, Pune, India. Address of Correspondence Dr. Sujit Joshi, Dept. of Pathology Deenanath Mangeshkar Hospital and Research Centre, […]

Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases

July 10, 2018

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 27-29 | Mike Parry, Anish Patel, Rajesh Botchu, Vaiyapuri S, Desai, Jeys Lee.

Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

[1] Department of Orthopedic Oncology.
[2] Department of Musculoskeletal Radiology,
[3] Department of pathology,The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK
[4] Department of Surgery, The Queen Elizabeth Hospital, Birmingham, UK

Address of Correspondence
Dr. Rajesh Botchu
Department of Musculoskeletal Radiology, The Royal Orthopedic Hospital, Bristol Road South, Northfield, Birmingham, UK
Email: drbrajesh@yahoo.com

Abstract

Whilst common in subcutaneous locations, inclusion epidermoid cysts arising from the pelvic bones are extremely rare. We report the case of a patient presenting with coccydynia and altered bowel habit who, following investigation was found to have a large cystic lesion of the sacrum with extending anteriorly into the presacral tissue resulting in compression of the rectum. The lesion was treated by surgical resection, sacrificing the lower sacral nerve roots. Histology confirmed an epidermoid cyst. Whilst a rare presenting symptom, careful assessment of the patient presenting with coccydynia and altered bowel function must raise the suspicion of a sacral pathology that demands further investigation.
Keywords: sacral epidermoid cyst, rare presentation

References

1. Handa U, Kumar S, Mohan H. Aspiration cytology of epidermoid cyst of terminal phalanx. Diagn Cytopathol. 2002;26(4):266–7.
2. Adachi H, Yoshida H, Yumoto T, Naniwa S, Okuno M, Morimoto K, et al. Intraosseous epidermal cyst of the sacrum. A case report. Acta Pathol Jpn. 1988;38(12):1561–4.
3. Muellner T, Nicolic A, Lang S, Schabus R, Kwasny O. Epidermoid cyst after arthroscopic knee surgery. Arthroscopy. 1998;14(3):331–4.
4. Ettinger RL, Manderson RD. Implantation keratinizing epidermoid cysts. A review and case history. Oral Surg Oral Med Oral Pathol. 1973;36(2):225–30.
5. Musharrafieh RS, Tawil AN, Saghieh SS, Macari G, Atiyeh BS. Epidermoid cyst of the thumb. Orthopedics. 2002;25(8):862–3.
6. Zadek I, Cohen HG. Epidermoid cyst of the terminal phalanx of a finger; with a review of the literature. Am J Surg. 1953;85(6):771–4.
7. Vion-Dury J, Vincentelli F, Jiddane M, Van Bunnen Y, Rumeau C, Grisoli F, et al. MR imaging of epidermoid cysts. Neuroradiology. 1987;29(4):333–8.
8. Epstein WL, Kligman AM. Epithelial cysts in buried human skin. AMA Arch Derm. 1957;76(4):437–45.
9. Jaiswal A, Shetty AP, Rajasekaran S. Precoccygeal epidermal inclusion cyst presenting as coccygodynia. Singapore Med J. 2008;49(8):e212–4.

How to Cite this article: Parry M, Patel A, Botchu R, Vaiyapuri S, Desai, Jeys L. Interosseous Epidermoid Inclusion Cyst of the Sacrum: A Case Report. Journal of Bone and Soft Tissue Tumors July-Dec 2018;4(2): 27-29.

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Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases

July 10, 2018

Vol 4 | Issue 2 | July-Dec 2018 | Page 25-26 | Sujit Joshi, Yogesh Panchwagh.

Authors: Sujit Joshi [1], Yogesh Panchwagh [2].

[1] Dept. of Pathology Deenanath Mangeshkar Hospital and Research Centre, Pune
[2] Orthopaedic Oncology Clinic, Pune, India.

Address of Correspondence
Dr. Sujit Joshi,
Dept. of Pathology Deenanath Mangeshkar Hospital and Research Centre, Pune
Email:sujitjoshi30@gmail.com

Abstract

Osseous hydatid disease is rare, and it is even rare to see it in extremities or pelvis. At times these lesions present as destructive lesions on radiographs and mimic neoplasm. Here we present two such cases, one arising in the lower end of femur mimicking chondrosarcoma and required excision and surgical stabilization. Second case presented as a cystic lesion in iliac bone suggestive of aneurysmal bone cyst. Both are quite unusual presentation and hydatid disease should always be kept in differential while dealing with such lesion
Keywords: Osseous hydatid disease, chondrosarcoma, aneurysmal bone cyst

References

1. International Journal of Research in Medical Sciences; Kumar R et al. Int J Res Med Sci. 2017 Mar;5(3):1126-1130.
2. M Laubscher et al SA Orthopedic Journal Winter 2018, Page 44-48.
3. Dahniya MH, Hanna RM, Ashebu S, Muhtaseb SA, el-Beltagi A, Badr S, et al. The imaging appearances of hydatid disease at some unusual sites. Br J Radiol. 2001;74:283-9.
4. Mattern CJ, Gardner MJ, Grose A, Helfet DL. Echinococcus disease of the bone presenting as a femoral shaft non-union. ClinOrthopRelat Res. 2007;458:220-5.

How to Cite this article: Joshi S, Panchwagh Y. Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases. Journal of Bone and Soft Tissue Tumors July-Dec 2018;4(2): 25-26.

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

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Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases

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Inter-Osseous Epidermoid Inclusion Cyst Of The Sacrum: A Case Report

Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

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Osseous Hydatid Disease: Mimicker of primary bone neoplasms.: Report of 2 cases

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Authors: Mike Parry [1], Anish Patel [2], Rajesh Botchu [2], Vaiyapuri S [3], Desai [4], Jeys Lee [1].

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Authors: Sujit Joshi [1], Yogesh Panchwagh [2].

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