PMC4003773_01
Clinical view of the dermoid cyst showing soft consistency, floating, regular borders, smooth surface, and the same color as the adjacent mucosa.
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fig1
The lesion showed soft consistency, floating, regular borders, smooth surface, and the same color as the adjacent mucosa, asymptomatic and measuring 4.5 x 5.5 cm in its greatest diameter (Figure 1).
An aspiration puncture with a thick needle was done and no material was collected.
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fig2
Based on this, the possibility of a solid or a cystic lesion with semisolid container was considered (Figure 2).
The lesion was completely removed and submitted to biopsy.
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fig3
The treatment administered in the present case was surgical and the lesion was completely removed (Figure 3).
The microscopic exam showed a cystic lesion with cavity lined by squamous stratified epithelium hyperorthokeratinized with cutaneous attachments, such as sebaceous glands and hair follicles.
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fig4
Cutaneous attachments, such as sebaceous glands and hair follicles, were present in connective adjacent tissue (Figure 4).