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Title: Squamous cell carcinoma arising in a cutaneous epidermal cyst--a case report. Author: Wong TH, Khoo AK, Tan PH, Ong BH. Journal: Ann Acad Med Singap; 2000 Nov; 29(6):757-9. PubMed ID: 11269984. Abstract: INTRODUCTION: Cutaneous epidermal cysts are common lesions, but fortunately, malignant transformation of their epithelium is rare. There are only a few cases mentioned in recent literature, mostly occurring in epidermal cysts in the head and neck region. CLINICAL PICTURE: We present a case of malignant transformation in a long-standing buttock epidermal cyst, presenting a month after trauma to the cyst. TREATMENT: An excision biopsy and rotation flap was done. When the pathology was confirmed, a second resection was carried out and the defect covered with a free latissimus dorsi flap, a buttock rotation flap and a posterior thigh rotation flap. CONCLUSION: Although malignant transformation is rare, this case illustrates the importance of routine histology in excision of epidermal cysts.[Abstract] [Full Text] [Related] [New Search]