PMC9957560_01
Clinical image of a giant epidermal cyst over the left gluteal region.
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FIG1
Clinical examination revealed a huge, soft-to-firm, regularly circumscribed mass over the left gluteal region (Figure 1), and the overlying skin looked glossy and discolored with no visible punctum on it.
Specimen of the giant epidermal cyst excised in toto.
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FIG2
As the definitive management, surgery proceeded with the excision of the swelling, which was extracted into toto and was identified as a cyst (Figure 2).
Histopathology slide showing the cyst wall lined by stratified squamous epithelium and filled with keratinaceous debris.
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FIG3
Postoperatively, the cyst was opened, which contained an odorless, purulent, whitish-creamy material, and the cyst wall was lined by stratified squamous epithelium, which was evidently visible on histopathology (Figure 3).