头背部多发性表皮样囊肿的临床诊治

摘要

Epidermoid cyst is mostly benign solitary round tumor. A rare case of multiple epidermoid cysts in the head and back is reported and relevant literatures are reviewed in this paper. The medical history, clinical feature, ultrasonic examination, CT and MRI can be used for diagnosis and surgical planning. Dermoid cysts and Gardner syndrome should be considered for differential diagnosis. The final diagnosis relies on pathology. Surgery of complete removal of the cyst is the main treatment, prognosis is good. Epidermoid cyst may have a small number of malignant transformation showed by growth acceleration or pain.%表皮样囊肿多为单发性圆形良性肿物.本文结合l例罕见的头背部多发性表皮样囊肿病例,回顾总结国内外详细记载的相关文献分析该病,认为病史、临床表现、超声检查、CT及MRI等检查有助于术前明确诊断及选择手术方案,多发者需与皮样囊肿及Gardner综合征鉴别,而最终确诊需要依靠病理检查.手术是目前主要治疗方法,完整摘除预后好.本病可有少数恶变,生长加速或疼痛出现等可视为癌变的征象,故应尽早手术治疗.