Dermoid cyst natural history: Difference between revisions
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===Spinal Dermoid Cyst=== | ===Spinal Dermoid Cyst=== | ||
*Rupture is the most common complication of spinal dermoid cysts.<ref name=kl> Spinal dermoid cyst. Radiopedia. http://radiopaedia.org/articles/spinal-dermoid-cyst. Accessed on February 11, 2016.</ref> | *Rupture is the most common complication of spinal dermoid cysts.<ref name=kl> Spinal dermoid cyst. Radiopedia. http://radiopaedia.org/articles/spinal-dermoid-cyst. Accessed on February 11, 2016.</ref> | ||
**Rupture of the cyst may result in the dissemination of fat droplets into the subarachnoidal and ventricular spaces which may lead to ventriculitis, arachnoiditis and eventually mental disorders and coma. <ref name="pmid23508636">{{cite journal| author=Sharma M, Mally R, Velho V| title=Ruptured conus medullaris dermoid cyst with fat droplets in the central canal [corrected]. | journal=Asian Spine J | year= 2013 | volume= 7 | issue= 1 | pages= 50-4 | pmid=23508636 | doi=10.4184/asj.2013.7.1.50 | pmc=PMC3596585 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23508636 }} </ref> | |||
===Intracranial Dermoid Cyst=== | ===Intracranial Dermoid Cyst=== | ||
Revision as of 14:55, 18 February 2016
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Dermoid cyst natural history On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
The majority of patients with [disease name] are asymptomatic. If left untreated, dermoid cysts gradually increase in size and produce symptoms depending upon their anatomical location. Common complications of ovarian dermoid cysts include torsion, rupture, and infection.[1][2] Common complications of periorbital dermoid cysts include inflammation and recurrence when not completely excised.[1] Rupture is the most common complication of spinal dermoid cysts.[1] Common complications of intracranial dermoid cysts include compression of adjacent structures from the mass effect and rupture of the cysts.[3][4] Infection is the most common complication of dermoid cysts of the floor of the mouth.[5] Malignant transformation usually into squamous cell carcinoma is a rare complication of dermoid cysts.[6][2]
Natural History
The majority of patients with [disease name] are asymptomatic. If left untreated, dermoid cysts gradually increase in size and produce symptoms depending upon their anatomical location.
Complications
- Malignant transformation usually into squamous cell carcinoma is a rare complication of dermoid cysts.[6][2]
Ovarian Dermoid Cyst
- Common complications of ovarian dermoid cysts include:[1][2]
- Torsion
- Rupture
- Infection
- Malignant transformation, usually into squamous cell carcinoma (adults) or rarely into endodermal sinus tumours (children)
Periorbital Dermoid Cyst
- Common complications of periorbital dermoid cysts include:[1]
- Inflammation
- When a dermoid cyst is disrupted, it results in an inflammatory reaction.
- Recurrence when not completely excised
- Inflammation
Spinal Dermoid Cyst
- Rupture is the most common complication of spinal dermoid cysts.[1]
- Rupture of the cyst may result in the dissemination of fat droplets into the subarachnoidal and ventricular spaces which may lead to ventriculitis, arachnoiditis and eventually mental disorders and coma. [7]
Intracranial Dermoid Cyst
- Common complications of intracranial dermoid cysts include:[3][4]
- Mass effect
- Compression of adjacent structures, e.g. optic chiasm
- Rupture (spontaneous, traumatic, or iatrogenic (at resection))
- Fat droplets from the ruptured cysts may disseminate into the subarachnoid space and ventricles which may result in the development of aseptic chemical meningitis
- Mass effect
Dermoid Cysts of the Floor of the Mouth
- Infection is the most common complication of dermoid cysts of the floor of the mouth.[5]
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Dermoid cyst. Wikipedia. https://en.wikipedia.org/wiki/Dermoid_cyst Accessed on February 11, 2016
- ↑ 2.0 2.1 2.2 2.3 Mature (cystic) ovarian teratoma. http://radiopaedia.org/articles/mature-cystic-ovarian-teratoma Radiopedia. Accessed on February 11, 2016
- ↑ 3.0 3.1 Intracranial dermoid cyst. http://radiopaedia.org/articles/intracranial-dermoid-cyst-1. Accessed on February 11, 2016.
- ↑ 4.0 4.1 Jacquin A, Béjot Y, Hervieu M, Biotti D, Caillier M, Ricolfi FC; et al. (2010). "[Rupture of intracranial dermoid cyst with disseminated lipid droplets]". Rev Neurol (Paris). 166 (4): 451–7. doi:10.1016/j.neurol.2009.09.003. PMID 19846186.
- ↑ 5.0 5.1 Makos C, Noussios G, Peios M, Gougousis S, Chouridis P (2011). "Dermoid cysts of the floor of the mouth: two case reports". Case Rep Med. 2011: 362170. doi:10.1155/2011/362170. PMC 3172983. PMID 21922020.
- ↑ 6.0 6.1 Osborn AG, Preece MT (2006). "Intracranial cysts: radiologic-pathologic correlation and imaging approach". Radiology. 239 (3): 650–64. doi:10.1148/radiol.2393050823. PMID 16714456.
- ↑ Sharma M, Mally R, Velho V (2013). "Ruptured conus medullaris dermoid cyst with fat droplets in the central canal [corrected]". Asian Spine J. 7 (1): 50–4. doi:10.4184/asj.2013.7.1.50. PMC 3596585. PMID 23508636.