DIAPRAGMATIC EPIDERMOID CYST – CASE REPORT

• Autor(a) principal: Lima, Gabriela Arêdes
• Data de Publicação: 2017
• Outros Autores: Azevedo, Fernanda Santos, Júnior, Haroldo José Siqueira da Igreja
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/171
• topic: cisto, tumores diafragmáticos, cisto epidermóide.; cyst, diaphragmatic tumors, epidermoid cyst.

Introduction: Non-cutaneous epidermoid cysts are uncommon abnormalities that can be found anywhere in the body, including the diaphragm, an extremely rare place for the occurrence of primary tumors. In general, it may be asymptomatic, however chest or abdominal pain may be referred to. Objective: The aim of the present paper is to describe a case of large diaphragmatic epidermoid cyst. Method: A descriptive study consisting of a case report based on the analysis of medical records, surgical and radiological images, histopathological and immunohistochemical reports, and a review of the literature in the electronic databases. Original scientific articles were obtained from LILAC, SciELO Brazil, Scopus and Pubmed. Case report: Female patient, 46 years old, single, started two days ago with pleurisy pain in the right costal margin and pain in the right hypochondrium, associated with anorexia. Computed tomography of the abdomen was performed, which showed solid-cystic tumor, measuring 20 x 14 x 0.5 cm, right subphrenic, determining mediocaudal hepatic and retraction of the inferior vena cava medially. Therefore, resection was indicated. For better definition of the histogenesis, an immunohistochemical study was performed which elucidated the diagnosis of epidermoid cyst. Conclusion: In the literature, the classic lesion of the epidermoid cyst is described as being of cutaneous origin, making the non-cutaneous type uncommon. Among these, the cases described in the literature of diaphragmatic epidermoid cyst are rare. The reported case of this type of large cyst shows that location and size may determine the onset of symptoms and even organ retractions.