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Pseudocyst of the auricle, also known as auricular pseudocyst, endochondral pseudocyst, cystic chondromalacia, intracartilaginous auricular seroma cyst, and benign idiopathic cystic chondromalacia, [1] is a cutaneous condition characterized by a fluctuant, tense, noninflammatory swelling on the upper half of the ear, known as the auricle or pinna.
Preauricular sinuses and cysts result from developmental defects of the first and second pharyngeal arches. [10] This and other ear malformations are sometimes associated with renal anomalies. [ 11 ] In rare circumstances these pits may be seen in genetic conditions such as branchio-oto-renal syndrome ; however these conditions are always ...
Not all middle ear epidermal cysts are congenital, as they can be acquired either by metaplasia of the middle ear mucosa or by traumatic implantation of ear canal or tympanic membrane skin. In addition, cholesteatoma inadvertently left by a surgeon usually regrows as an epidermal cyst. Some authors have also suggested hereditary factors. [9] [10]
A sebaceous cyst is a term commonly used to refer to either: [1] Epidermoid cysts (also termed epidermal cysts, infundibular cyst) Pilar cysts (also termed trichelemmal cysts, isthmus-catagen cysts) Both of the above types of cysts contain keratin, not sebum, and neither originates from sebaceous glands.
The cyst wall is composed of squamous epithelium (90%), columnar cells with or without cilia, or a mixture of both, with lymphoid infiltrate, often with prominent germinal centers and few subcapsular lymph sinuses. The cyst is typically surrounded by lymphoid tissue that has attenuated or absent overlying epithelium due to inflammatory changes.
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In some instances, other methods must be used to distinguish between a normal cyst and a pseudocyst. [3] This is usually accomplished with endoscopic ultrasound or with fine needle aspiration. [2] Transabdominal ultrasound can be used to identify pseudocysts, which appear on the scan as echoic structures associated with distal acoustic ...