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A surgical surprise reviewed – subcutaneous phaeohyphomycotic cyst

Publication Type : Journal Article

Publisher : Amrita Journal Medicine

Source : Amrita Journal of Medicine, 2020;16:30-2. DOI: 10.4103/AMJM.AMJM_6_20

Url : https://journals.lww.com/AMJM/Fulltext/2020/16010/A_Surgical_Surprise_Reviewed___Subcutaneous.8.aspx

Campus : Kochi

School : School of Medicine

Department : General Surgery

Year : 2020

Abstract : A 65-year-old female patient presented to the general surgery outpatient department with a nodule in the left palm for 3 months. She gave a history of having pricked her left hand while preparing a composite by crushing dried leaves in her farm. Clinical examination revealed a tender 1 cm × 1 cm hemispherical swelling with well-defined margin in the palm of the left hand which was firm in consistency. There was no foreign body or signs of inflammation. A clinical diagnosis of implantation dermoid cyst was made. The swelling was excised and sent for histopathological examination. Histopathology showed palisaded granuloma with suppuration and cyst formation, with vegetable matter and occasional fungal hyphae resembling a phaeohyphomycotic cyst. A surgically treatable fungal disease may be a differential diagnosis for a swelling in the hands and feet, especially in population exposed to these pathogens.

Cite this Research Publication : Sivadas N, Ramachandran R, Pillai AV, Krishnan A., "A surgical surprise reviewed - subcutaneous phaeohyphomycotic cyst," Amrita Journal of Medicine, 2020;16:30-2. DOI: 10.4103/AMJM.AMJM_6_20

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