Two Rare Presentations of Epidermal Cyst

Epidermal cysts are very rare. It is more common in males than in females and the most common site of presentation are the hairy sites. We came across two rare cases of epidermal cysts.

In one case, a parous lady presented with an adnexal mass and D/D of broad ligament fibroid or ovarian mass was considered which turned out to be a cyst containing cheesy pultaceous material. In the other case, a parous lady presented with a mass arising from the posterior fourchette that contained cheesy pultaceous material on excision. In both cases Histopathology confirmed it to be epidermal cysts.

Epidermal cysts known for its rare incidence by itself is now found to be presenting at rare sites which emphasizes on the need for further research into the etiopathogenesis of these cysts and its development at the various sites of the body.