Is histological examination necessary when excising a pilonidal cyst?

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. We present th...

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Bibliographic Details
Published in:	The American journal of case reports Vol. 16; pp. 164 - 168
Main Authors:	Parpoudi, Styliani N, Kyziridis, Dimitrios S, Patridas, Dimitrios Ch, Makrantonakis, Apostolos N, Iosifidis, Pavlos, Mantzoros, Ioannis G, Tsalis, Konstantinos C
Format:	Journal Article
Language:	English
Published:	United States International Scientific Literature, Inc 21-03-2015
Subjects:	Aged Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - therapy Delayed Diagnosis Humans Male Pilonidal Sinus - pathology Pilonidal Sinus - surgery Sacrococcygeal Region Skin Neoplasms - pathology Skin Neoplasms - therapy
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Summary:	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. 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. Detailed histological examination of all excised pilonidal cyst lesions is essential and any histological suspicion should prompt a wider excision.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 Funds Collection Authors’ Contribution Conflict of interest: None declared Data Interpretation Literature Search Data Collection Study Design Manuscript Preparation Statistical Analysis
ISSN:	1941-5923 1941-5923
DOI:	10.12659/AJCR.892843