Dermoid cyst

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A dermoid cyst is a cyst of the skin that uncommonly occurs at the site of the circumcision wound as it heals. It is a late-presenting complication of male circumcision.[1]

A cyst is described as "an abnormal closed epithelium-lined sac in the body that contains a liquid or semisolid substance."[2] There are many types of cysts. Most are benign.

Dermoid cysts secondary to circumcision may be less uncommon where traditional circumcision is practiced. Osifo & Oriaifo (2009) reported 10 cases of implantation cyst among 346 circumcised boys in Nigeria.[3] Ekenze & Ezomike (2013) reported 4 cases of implantation dermoid cyst among 64 patients in Nigeria.[4] Appiah et al. (2016) reported 3 cases of epidermal inclusion cyst among 72 cases of circumcision complications in Ghana.[5]

Treatment

Dermoid cysts are treated by surgical excision of the cyst.[1][6]

Case reports

Okeke (2009) reported the case of a ten-year-old circumcised boy in Nigeria with a swelling on the ventral aspect of his penis at the circumcision scar.[6]

Saini et al. (2010) reported the case of a fiwe-year-old boy who presented with an epidermal inclusion cyst on his penis, which was a late complication of circumcision.[7]

El-Shazly et al. (2012) reported the case of a 32-year-old male with an epidermal inclusion cyst on his penis secondary to circumcision. The cyst contained a stone and had two urethrocutaneous fistulae.[1]

References

  1. a b c REFjournal El-Shazl M, Ghobashy A, Allam A, et al. Penile Epidermal Inclusion Cyst. Case Rep Urol. 28 May 2012; 2012: [191343]. PMID. PMC. DOI. Retrieved 27 February 2022.
  2. REFweb (2003). Cyst, The Free Dictionary. Retrieved 27 February 2022.
  3. REFjournal Osifo OD, Oriaifo IA, et al. Circumcision mishaps in Nigerian children. Ann Afr Med. October 2009; 8(4): 266-70. PMID. DOI. Retrieved 27 February 2022.
  4. REFjournal Ekenze SO, Ezomike UO. Complications of neonatal circumcision requiring surgical intervention in a developing country. J Trop Pediatr. October 2013; 59(4): 294-7. PMID. DOI. Retrieved 23 February 2022.
  5. REFjournal Appiah KAA, Gyasi-Sarpong CK, Azorliade R, et al. Circumcision-related tragedies seen in children at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. BMC Urol. 8 November 2016; 16: 65. PMID. PMC. Retrieved 27 February 2023.
  6. a b REFjournal Okeke LI. Epidermal inclusion cyst as a rare complication of neonatal male circumcision: a case report. Journal of Medical Case Reports 2. 14 July 2009; 3: 7321. PMID. PMC. DOI. Retrieved 27 February 2022.
  7. REFjournal Saini, Pradeep, Mansoor MN, Jalili, Sanjay, Sharma, Abihishek. Penile epidermal inclusion cyst. Indian J Pediatr. July 2020; 77: 815-6. PMID. DOI. Retrieved 28 February 2022.