Multiple ruptured epidermal cysts on the scalp mistaken as hidradenitis suppurativa: A Case Report

Abstract

Epidermal cyst is one of the most common benign soft tissue tumors, and it may be easily identified and treated by surgical excision. We experienced a patient who had multiple masses on the scalp and the masses had been misdiagnosed as hidradenitis suppurativa (HS) because of persistent pain, sinus tract and fistula formation and purulent discharge. Based on physi-cal examination, early total excision was performed. On the histopathologic examination, it was diagnosed as multiple ruptured epidermal cysts. In the case presented here, we would like to introduce an initial misdiagnosis but ultimately accurate treatment with excellent cosmetic result and highly sat-isfaction of the patient.

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