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DR Sarma's Guide To Mastering Dermal Cyst
DR Sarma's Guide To Mastering Dermal Cyst
DR Sarma's Guide To Mastering Dermal Cyst
Dermal cyst
Epidermal cyst
Dermal cyst lined by epidermis with granular layer and containing flakey keratin.
Dermal cyst lined by less basophilic trichilemmal epithelium containig compact pilar type keratin. Calcification is common.
Pilar cyst close to the epidermis arising from the infundibulum of the hair. Lined by trichilemmal (LT) as well as epidermal epithelium with granular layer (RT). Content of the cyst: Compact keratin.
Compare the epidermal cyst with normal epidermis. Compare the pilar cyst with normal hair.
Dermoid cyst
Dermal cyst lined by epidermis with all normal adnexal structures. Lumen contains flakey keratin and hair.
Epidermal cyst: 1. Lining: Normal epidermis with granular layer. No adnexal structure. 2. Content: Flakey keratin.
Pilar cyst: 1.Lining: Pale trichilemmal epithelium, no granular layer. 2.Content: Compact keratin
Dermoid cyst: 1. Lining: Epidermis with adnexae. 2. Content: Flakey keratin, hair.
Dermal cyst lined by giant cells, histiocytes,sometimes residual epidermis containing flakey keratin within the cyst cavity.
Hidrocystoma
Dermal cyst lined by small cuboidal cells of sweat duct. Cyst cavity contains fluid ( sweat ), but no keratin.
Steatocystoma
Multilocular dermal cyst lined by wavy squamous epithelium with sebaceous glands. Cyst cavity contains oily fluid, but no keratin. Origin of this cyst is the sebaceous gland duct.