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EPIDERMAL INCLUSION CYST

EPIDERMAL INCLUSION CYSTย ย ICD-10: L72.810

โ€ข An epidermal inclusion cyst occurs secondary to traumatic implantation of epidermis into the dermis. Traumatically grafted epidermis grows in the dermis, with accumulation of keratin within the cyst cavity, enclosed in a stratified squamous epithelium with a well-formed granular layer.
โ€ข The lesion appears as a dermal nodule (Fig. 9-33) and most commonly occurs on the palms, soles, and fingers.
โ€ข It should be excised.
โ€ข Synonym: Traumatic epidermoid cyst.

FIGURE 9-32 โ€ข Trichilemmal cystโ€‚A firm, dome-shaped nodule on the scalp. Pressure by the cyst has caused atrophy of hair bulbs, and it thus appears without hairs.

FIGURE 9-33 โ€ข Epidermal inclusion cystโ€‚A small dermal nodule on the knee at the site of the laceration.