A 75-year-old woman had history of an ulcerative BCC which had been excised and primarily sutured three years ago. Now she presents with an asymptomatic, oval, superficial ulcer with somehow pigmented thread-like border at the same site of previously removed BCC. Again, it has been excised with 5 mm safe margin and primarily sutured.  

Case presented by Dr. Ayman Abdelmaksoud, MD.

A very interesting case of an asymptomatic swelling involved the auricle appeared few days after a bee sting in this 18-year-old male. However, there was no history of any type of trauma prior to the development of this cyst.

An 18-year-old male presented with an asymptomatic, translucent, dome-shaped cyst about 1.5 cm in diameter involved the mucosal side of the lower lip of many months duration. It has been excised and primarily sutured under LA.

A dome-shaped, skin-colored, about 2 cm diameter, asymptomatic nodule with surface telangiectasia in the center of the right cheek of more than one year duration. On clinical background, the main two differential diagnoses were epidermoid cyst and giant mulloscum contagiosum.  The lesion has been removed in toto under local anesthesia and found to be an epidermoid cyst.

A 40-year-old dark-complexioned man suffered a slowly developed ulcer on one side of the scalp. The ulcer has rolled up border and granular base. The patient complained that his lesion bleeds easily even on minor touch. Within 4 years the ulcer has reached about 7 cm diameter and resulted in localized hair fall.

A 26-year-old male presented with sudden appearance of an asymptomatic, worrisome, blackish papule on the forearm of one month duration. O/E: an irregualr-outlined dark-colored papule about 6 x 4 millimeters in greatest diameters. It has been removed in toto and sent for HP examination. Biopsy showed benign looking melanocytes at the dermoepidermal junction.

Epidermoid cysts often incorrectly called ‘sebaceous cysts’ are common and can occur on the scalp, face, behind the ears and on the trunk. They often have a central punctum; when they rupture or are squeezed, foul smelling cheesy material comes out. The present case is a an 85-year-0ld manpresented with a dome-shaped epidermoid cyst in the epigastric region of more than 10 years duration. It seems that the skin overlying the cyst has been atrophied with some dilated vessels due to the pressure effect produced by the cyst. The punctum in the central part of the cyst is so evident.

A 19-year-old male presented with a painless, translucent, cystic swelling about 1 cm in diameter involved the ventral surface of the tongue of 6 months duration. It has been excised under LA but recurs after 6 months. Re-excision was successful with no recurrence one year after second operation.