Male patient aged 35 years Reported to OPD with this swelling for last few years which is gradually progressive in nature Kindly comment
Ddx: lipoma, molluscum, dermatofibroma.excision.
?Neurofibromatosis DD epidermoid cyst
Pendicular neurofibromatosis
Neurofibramatosis 1, Pachydermatocele SURGICAL excision
Epidermoid cyst
Epidermal inclusion cyst. Epidermal inclusion cyst is a benign cyst usually found on the skin. The cyst develops out of ectodermal tissue. Histologically, it is made of a thin layer of squamous epithelium. The surface of skin (epidermis) is made up of a thin, protective layer of cells that your body continuously sheds. Most epidermoid cysts form when these cells move deeper into your skin and multiply rather than slough off. Sometimes the cysts form due to irritation or injury of the skin or the most superficial portion of a hair follicle.
Epidermal cyst Go for excision biopsy
Pedunculated lipoma or mollascum There are multiple mollascums one of them is enlarged and pedunculated Rx excision/cauterization
Keloid Lipoma Dermoid cyst Epidermal cyst
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