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Is histological examination necessary when excising a pilonidal cyst?

TitleIs histological examination necessary when excising a pilonidal cyst?
Publication TypeJournal Article
Year of Publication2015
AuthorsParpoudi, S. N., Kyziridis D. S., Patridas D. Ch, Makrantonakis A. N., Iosifidis P., Mantzoros I. G., & Tsalis K. C.
JournalAm J Case Rep
Volume16
Pagination164-8
Date Published2015
ISSN1941-5923
KeywordsAged, Carcinoma, Squamous Cell, Delayed Diagnosis, Humans, Male, Pilonidal Sinus, Sacrococcygeal Region, Skin Neoplasms
Abstract

BACKGROUND: Pilonidal disease is a common inflammatory condition mostly affecting young males. Malignant degeneration of a pilonidal cyst is rare, with incidence estimated at 0.1%. The most common type is squamous cell carcinoma and the treatment of choice remains en block resection of the lesion.CASE REPORT: We present the case of a patient with locally advanced squamous cell carcinoma arising in a pilonidal cyst, due to misdiagnosis of the disease during his first treatment.CONCLUSIONS: Detailed histological examination of all excised pilonidal cyst lesions is essential and any histological suspicion should prompt a wider excision.

DOI10.12659/AJCR.892843
Alternate JournalAm J Case Rep
PubMed ID25794794
PubMed Central IDPMC4370644

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