Giant epidermal cyst in the breast requiring reconstruction with the bilobed flap technique — case report
DOI:
https://doi.org/10.29289/2594539420240025Palavras-chave:
epidermal cysts, surgical flaps, breast-conserving surgery, breast diseasesResumo
Epidermal cysts are one of the most common benign skin lesions, originating in the pilosebaceous unit, and are very common on the scalp, back, and trunk. They usually measure from millimeters to a few centimeters and require surgical treatment only depending on the patient's discomfort. Cases that mimic breast neoplasms are rare. Treatment consists of a minimal incision, with removal of the contents and their capsule, without major complications. We report here the case of a woman with an epidermal cyst in her left breast, which had grown progressively over the years, reaching 6 cm. Because of its size, location, and unfavorable relationship between tumor size and breast size, surgery using an oncoplastic breast remodeling technique was chosen, opting for the use of a bilobed flap to achieve a satisfactory cosmetic result, without loss of breast volume.
Downloads
Referências
1. Sharma S, Pujani M. Epidermoid cyst of breast: a clinical and
radiological dilemma resolved by FNAC. J Cytol. 2012;29(2):155-
6. https://doi.org/10.4103/0970-9371.97166
2. Mahmud MU, Sheuly SB, Bhuiyan NH, Chowdhury R, Ali R.
Giant epidermoid cyst in the breast: a common benign lesion
at a rare site – a case report. Int J Surg Case Rep. 2017;36:130-2.
https://doi.org/10.1016/j.ijscr.2017.05.014
3. Paliotta A, Sapienza P, D’Ermo G, Cerone G, Pedullà G, Crocetti
D, et al. Epidermal inclusion cyst of the breast: a literature
review. Oncol Lett. 2016;11(1):657-60. https://doi.org/10.3892/
ol.2015.3968
4. Zhang Y, Song L, Zhang H, Liu F, Hao G, Liu J, et al. Giant epidermal
inclusion cyst with infection arising within the breast parenchyma:
a case report. J Int Med Res. 2021;49(3):300060521997671. https://
doi.org/10.1177/0300060521997671
5. Hoang VT, Trinh CT, Nguyen CH, Chansomphou V,
Chansomphou V, Tran TTT. Overview of epidermoid cyst.
Eur J Radiol Open. 2019;6:291-301. https://doi.org/10.1016/j.
ejro.2019.08.003
6. Mukherjee S, Datta P, Datta S. Atypical sebaceous cyst:
uncommon and unusual locations. International Surgery
Journal. 2015;2(3):431-3. https://doi.org/10.18203/2349-2902.
isj20150517
REFERENCES
7. Bolbandi AK, Klirishnappa P, Bennehalli A. Varied
presentations of epithelial cysts. Int J Case Rep Imag.
2012;3(10):65-7. https://doi.org/10.5348/ijcri-2012-10-205-CI-18
8. Facina G, Oliveira VM, Barros ACSD, Torresan RZ, Reis
JHP, Biazús JV, et al. Diretrizes e mastologia. Goiânia:
Conexão; 2022.
9. Tissiani LAL, Alonso N, Carneiro MH, Bazzi K, Rocco
M. Versatilidade do retalho bilobado. Rev Bras Cir Plást.
2011;26(3):411-7.
10. Meadows AE, Rhatigan M, Manners RM. Bilobed flap
in ophthalmic plastic surgery: simple principles for flap
construction. Ophthalmic Plast Reconstr Surg. 2005;21(6):441-
4. https://doi.org/10.1097/01.iop.0000180067.48340.b8
11. Biazús JV, Zucatto AE, Melo MP. Cirurgia conservadora:
mamoplastia oncológica. In: Biazús JV, Zucatto AE, Melo
MP. Cirurgia da mama. 2a
ed. Porto Alegre: Artmed; 2012.
p. 177-244.
12. Lucena CEM, Paulinelli RR, Pedrini JL. Oncoplastia e
reconstrução mamária. Rio de Janeiro: MedBook; 2019.
13. Biazus JV, Falcão CC, Parizotto AC, Stumpf CC, Cavalheiro
JAC, Schuh F, et al. Immediate reconstruction with autologous
fat transfer following breast-conserving surgery. Breast J.
2015;21(3):268-75. https://doi.org/10.1111/tbj.12397
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Juliana Lopes de Aguiar Araújo, Diana Taissa Sampaio Marinho Navarro, Macerly Laise de Menezes Dantas, Gabrielly de Sousa Brunet, Larissa dos Santos Lourenço Ferreira, Ubiratan Wagner de Sousa

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.