Skip to main content

Advertisement

SpringerLink
Log in

Müllerian-type, cutaneous ciliated cyst in the gluteal cleft mimicking a pilonidal cyst

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

A cutaneous ciliated cyst is a rare entity found predominantly in the lower extremities and perineal region of young females. Although initially described by Hess in 1890, the present day term, “cutaneous ciliated cyst,” was proposed by Farmer in 1978 and includes a wide array of cyst types. Despite their typical female predominance and location, many have described cutaneous ciliated cysts in males and atypical locations. In addition, Mullerian cysts in the posterior mediastinum and the retroperitoneum have been reported. To date, only 40 cases have been reported in the literature of a Mullerian-type, cutaneous ciliated cyst. Here, we report a case of 13-year-old female with one in the gluteal cleft, initially presenting as a pilonidal cyst. We also discuss the differential diagnosis of pediatric sacrococcygeal lesions and pathogenesis of a Mullerian-type, cutaneous ciliated cyst.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Farmer ER, Helwig EB (1978) Cutaneous ciliated cyst. Arch Dermatol 114:70–73

    Article  CAS  PubMed  Google Scholar 

  2. Ashturkar AV, Pathak GS, Joshi AR (2011) Cutaneous ciliated cyst over knee. J Cutan Aesthet Surg 4(2):158–159

    Article  PubMed Central  PubMed  Google Scholar 

  3. Chong S, Kim S, Kim H et al (2007) Cutaneous ciliated cyst in a 16-year-old girl. J Am Acad Dermatol 56:159–160

    Article  PubMed  Google Scholar 

  4. Kim NR, Kim HH, Suh Y (2001) Cutaneous bronchogenic cyst of the abdominal wall. Pathol Int 51:970–973

    Article  CAS  PubMed  Google Scholar 

  5. Kim DY, Park SG, Lee JH et al (2006) A case of cutaneous ciliated cyst on the umbilicus mimicking omphalomesenteric duct cyst and urachal cyst. JEADV 20:1161–1162

    CAS  PubMed  Google Scholar 

  6. Lee JS, Kim YC, Lee ES (2006) Cutaneous ciliated cyst of the inguinal area in a man. J Dermatol 2:146–149

    Article  Google Scholar 

  7. Lee MT, Heller DS, Lambert WC et al (2001) Cutaneous ciliated cyst with interspersed apocrine features presenting as a pilonidal cyst in a child. Pediatr Dev Pathol 4:310–312

    Article  CAS  PubMed  Google Scholar 

  8. Stevens T, Sarma DP (2011) Biopsy of a 5 mm cystic lesion on the right heel of a 48-year-old woman. Dermatol Online J 17:6

    PubMed  Google Scholar 

  9. Varma SK, Rayner SS, Brown LJ (1990) Cutaneous ciliated cyst: case report and literature review. Plast Reconstr Surg 86:344–346

    Article  CAS  PubMed  Google Scholar 

  10. Yokozaki H, Yanagawa E, Harada M et al (1999) Cutaneous ciliated cyst of the right lower leg. Pathol Int 49:354–357

    Article  CAS  PubMed  Google Scholar 

  11. Kobayashi S, Inoue T, Karube Y et al (2012) A case of mullerian cyst arising in posterior mediastinum. Ann Thorac Cardiovasc Surg 18:39–41

    Article  PubMed  Google Scholar 

  12. Konishi E, Nakashima Y, Iwasaki T (2003) Immunohistochemical analysis of retroperitoneal mullerian cyst. Hum Pathol 34:194–198

    Article  PubMed  Google Scholar 

  13. Sickel JZ (1994) Cutaneous ciliated cyst of the scalp. A case report with immunohistochemical evidence for estrogen and progesterone receptor. Ann J Dermatopathol 16:76–79

    Article  CAS  Google Scholar 

  14. Sabourin JC, Grossin M, Potet F (1993) Cutaneous ciliated cyst of the scapular area. Ann Dermatol Venereol 120:383–385

    CAS  PubMed  Google Scholar 

  15. Hung T, Yang A, Binder SW et al (2012) Cutaneous ciliated cyst on the finger: a cutaneous mullerian cyst. Am J Dermatopathol 34:335–338

    Article  PubMed  Google Scholar 

  16. Johnson JM, Jessurun J, Leonard A (1999) Sacrococcygeal ependymoma: case report and review of the literature. J Pediatr Surg 34:1405–1407

    Article  CAS  PubMed  Google Scholar 

  17. Singer MA, Cintron JR, Martz JE et al (2003) Retrorectal cyst: a rare tumor frequently misdiagnosed. J Am Coll Surg 196:880–886

    Article  PubMed  Google Scholar 

  18. Zhang PJ, Gao HG, Pasha TL et al (2009) TTF-1 expression in ovarian and uterine epithelial neoplasia and its potential significance, an immunohistochemical assessment with multiple monoclonal antibodies and different secondary detection systems. Int J Gynecol Pathol 28:10–18

    Article  PubMed  Google Scholar 

  19. Laury AR, Perets R, Piao H et al (2011) A comprehensive analysis of PAX8 expression in human epithelial tumors. Am J Surg Pathol 35:816–826

    Article  PubMed  Google Scholar 

  20. Rodrigo-Nicolas B, Raro JJT, Armengot-Carbo M et al (2013) Mullerian and eccrine cutaneous ciliated cysts: two different entities? The contribution of WT-1 and PAX8 to diagnosis. J Cutan Pathol 40:608–610

    Article  PubMed  Google Scholar 

  21. Bivin WW, Heath JE, Drachenberg CB et al (2010) Cutaneous ciliated cyst: a case report with focus on mullerian heterotopia and comparison with eccrine sweat glands. Am J Dermatopathol 32:731–734

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Georgia Regents University, 1120 15th Street, Room BIW 446, Augusta, GA, 30912, USA

    Jin Sol Oh & Varun K. Bhalla

  2. Department of Pathology, Georgia Regents University, Augusta, GA, USA

    Lance Needham & Suash Sharma

  3. Division of Pediatric Surgery, Children’s Hospital of Georgia, Georgia Regents University, Augusta, GA, USA

    Walter L. Pipkin, Robyn M. Hatley & Charles G. Howell

Authors
  1. Jin Sol Oh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Varun K. Bhalla
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Lance Needham
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Suash Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Walter L. Pipkin
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Robyn M. Hatley
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Charles G. Howell
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Varun K. Bhalla.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Oh, J.S., Bhalla, V.K., Needham, L. et al. Müllerian-type, cutaneous ciliated cyst in the gluteal cleft mimicking a pilonidal cyst. Pediatr Surg Int 30, 545–548 (2014). https://doi.org/10.1007/s00383-013-3363-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-013-3363-z

Keywords

Search

Navigation