Cyst, ciliated, of the lower extremity L72.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Cutaneous ciliated cyst

Definition
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Rare, asymptomatic, skin-colored lump typically found on the lower legs in young women.

Etiopathogenesis
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The origin is unknown. Discussed are atypically localized or scattered remnants of the Müller duct (embryonic sexual duct, which develops at the beginning of the 2nd embryonic month from a depression of the celomepihtel and develops into fimbriae and tubes in the female sex). Epithelial cysts from scattered Müller ducts develop mainly in uterus and vagina, more rarely extragenital.

Manifestation
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Almost exclusively among women; very occasionally, publications on appearance among men.

Localization
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Typically on the lower legs.

Clinical features
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1-3 cm in diameter large, dermal, symptomless, cystic nodule. In case of a rupture emptying of a mostly clear secretion. The diagnosis is usually made as a random histological finding.

Histology
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Dermal unilocular or chambered cyst whose wall is covered by a multi-row prismatic ciliated epithelium. Frequent formation of "papillary projections" into the glandular lumen.

Therapy
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Excision is curative.

Note(s)
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There is probably a close etiological relationship to the ciliated cyst of the vulva. It seems reasonable to summarize both under the term "Müller cysts" with addition of the localization.

Literature
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  1. Ashton MA (1995) Cutaneous ciliated cyst of the lower limb in a male. Histopathology 26: 467-469
  2. Dini M et al (2000) Cutaneous ciliated cyst: a case report with immunohistochemical evidence for dynein in ciliated cells. Am J Dermatopathol 22: 519-523
  3. Sidoni A, Bucciarelli E (1997) Ciliated cyst of the perineal skin. On J Dermatopathy 19: 93-96
  4. Vadmal MS et al (2002) Cutaneous ciliated cyst of the abdominal wall. At J Dermatopathol 24: 452-453
  5. Yokozaki H et al (1999) Cutaneous ciliated cyst of the right lower leg. Catholic Int 49: 354-357

Outgoing links (2)

Cyst, ciliated, the vulva; Excision;

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Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020