Skip to main content

Abstract

In this chapter we will review the sonographic characteristics of common benign cutaneous tumors in correlation with clinical and histological features. Ultrasound can provide anatomical data on tumors of the skin that are unavailable at the time of the clinical examination. Therefore, knowledge of the sonographic morphology of these lesions can improve their clinical management.

The most common benign entities with tips to recognize them on sonography

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wortsman X, Wortsman J. Clinical usefulness of variable frequency ultrasound in localized lesions of the skin. J Am Acad Dermatol. 2010;62:247–56.

    Article  PubMed  Google Scholar 

  2. Wortsman X, Jemec G. Common inflammatory diseases of the skin: from the skin to the screen. Adv Psoriasis Inflamm Skin Dis. 2010;2:9–15.

    Google Scholar 

  3. Wortsman X. Common applications of dermatologic sonography. J Ultrasound Med. 2012;31:97–111.

    PubMed  Google Scholar 

  4. Jin W, Ryu KN, Kim GY, Kim HC, Lee JH, Park JS. Sonographic findings of ruptured epidermal inclusion cysts in superficial soft tissue: emphasis on shapes, pericystic changes, and pericystic vascularity. J Ultrasound Med. 2008;27:171–6.

    PubMed  Google Scholar 

  5. Kuwano Y, Ishizaki K, Watanabe R, Nanko H. Efficacy of diagnostic ultrasonography of lipomas, epidermal cysts, and ganglions. Arch Dermatol. 2009;145(7):761–4.

    Article  PubMed  Google Scholar 

  6. Mester J, Darwish M, Deshmukh SM. Steatocystoma multiplex of the breast: mammographic and sonographic findings. AJR. 1998;170:115–6.

    Article  PubMed  CAS  Google Scholar 

  7. Park KY, Oh KK, Noh TW. Steatocystoma multiplex: mammographic and sonographic manifestations. AJR. 2003;180:271–4.

    Article  PubMed  Google Scholar 

  8. Lee D, Chun JS, Hong SK, Seo JK, Choi JH, Koh JK, et al. Steatocystoma multiplex confined to the scalp with concurrent alopecia. Ann Dermatol. 2011;23 Suppl 2:S258–60.

    Article  PubMed  Google Scholar 

  9. Folpe AL, Reisenauer AK, Mentzel T, Rütten A, Solomon AR. Proliferating trichilemmal tumors: clinicopathologic evaluation is a guide to biologic behavior. J Cutan Pathol. 2003;30:492–8.

    Article  PubMed  Google Scholar 

  10. Chang SJ, Sims J, Murtagh FR, McCaffrey JC, Messina JL. Proliferating trichilemmal cysts of the scalp on CT. AJNR Am J Neuroradiol. 2006;27:712–4.

    PubMed  CAS  Google Scholar 

  11. Al-Khateeb TH, Al-Masri NM, Al-Zoubi F. Cutaneous cysts of the head and neck. J Oral Maxillofac Surg. 2009;67:52–7.

    Article  PubMed  Google Scholar 

  12. Kirwan LA. Dermoid cyst of the lateral third of the eyebrow. Practitioner. 1985;229:771–3.

    PubMed  CAS  Google Scholar 

  13. MacKee P, Calonje E, Granter S. Cutaneous cysts. In: MacKee P, Calonje E, Granter S, editors. Pathology of the skin with clinical correlation. 3rd ed. Philadelphia: Elsevier/Mosby; 2005. p. 1673–4.

    Google Scholar 

  14. Choudur HN, Hunjan JS, Howey JM, DeNardi F. Unusual presentation of a dermoid cyst in the ischiorectal fossa. Magnetic resonance imaging and ultrasound appearances. Skeletal Radiol. 2009;38:921–4.

    Article  PubMed  CAS  Google Scholar 

  15. Harlak A, Mentes O, Kilic S, Coskun K, Duman K, Yilmaz F. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics (Sao Paulo). 2010;65:125–31.

    Article  Google Scholar 

  16. Mentes O, Oysul A, Harlak A, Zeybek N, Kozak O, Tufan T. Ultrasonography accurately evaluates the dimension and shape of the pilonidal sinus. Clinics (Sao Paulo). 2009;64:189–92.

    Article  Google Scholar 

  17. Inampudi P, Jacobson JA, Fessell DP, et al. Soft-tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology. 2004;233:763–7.

    Article  PubMed  Google Scholar 

  18. Hsu YC, Shih YY, Gao HW, Huang GS. Subcutaneous lipoma compression the common peroneal nerve and causing palsy: sonographic diagnosis. J Clin Ultrasound. 2010;38:97–9.

    PubMed  Google Scholar 

  19. Yang DM, Kim HC, Lim JW, Jin W, Ryu CW, Kim GY, et al. Sonographic findings of groin masses. J Ultrasound Med. 2007;26:605–14.

    PubMed  CAS  Google Scholar 

  20. Fornage BD, Tassin GB. Sonographic appearances of superficial soft tissue lipomas. J Clin Ultrasound. 1991;19:215–20.

    Article  PubMed  CAS  Google Scholar 

  21. MacKee P, Calonje E, Granter S. Tumors of fibrous and myofibroblastic tissue. In: MacKee P, Calonje E, Granter S, editors. Pathology of the skin with clinical correlation. 3rd ed. Philadelphia: Elsevier/Mosby; 2005. p. 1669–723.

    Google Scholar 

  22. Nikolaidis P, Gabriel HA, Lamba AR, Chan NG. Sonographic appearance of nodular fasciitis. J Ultrasound Med. 2006;25(2):281–5.

    PubMed  Google Scholar 

  23. Ramos R, Ureña A, Macía I, Rivas F, Ríus X, Armengol J. Elastofibroma dorsi: an uncommon and under-diagnosed tumour. Arch Bronconeumol. 2011;47:262–3.

    Article  PubMed  Google Scholar 

  24. Battaglia M, Vanel D, Pollastri P, Balladelli A, Alberghini M, Staals EL, et al. Imaging patterns in elastofibroma dorsi. Eur J Radiol. 2009;72:16–21.

    Article  PubMed  CAS  Google Scholar 

  25. Bianchi S, Martinoli C, Abdelwahab IF, Gandolfo N, Derchi LE, Damiani S. Elastofibroma dorsi: sonographic findings. AJR Am J Roentgenol. 1997;169:1113–5.

    Article  PubMed  CAS  Google Scholar 

  26. MacKee P, Calonje E, Granter S. Neurilemmoma. In: MacKee P, Calonje E, Granter S, editors. Pathology of the skin with clinical correlation. 3rd ed. Philadelphia: Elsevier/Mosby; 2005. p. 1669–723.

    Google Scholar 

  27. Lee JY, Kim SM, Fessell DP, Jacobson JA. Sonography of benign palpable masses of the elbow. J Ultrasound Med. 2011;30:1113–9.

    PubMed  Google Scholar 

  28. Tsai WC, Chiou HJ, Chou YH, Wang HK, Chiou SY, Chang CY. Differentiation between schwannomas and neurofibromas in the extremities and superficial body: the role of high-resolution and color Doppler ultrasonography. J Ultrasound Med. 2008;27:161–6.

    PubMed  Google Scholar 

  29. Hassell DS, Bancroft LW, Kransdorf MJ, Peterson JJ, Berquist TH, Murphey MD, et al. Imaging appearance of diffuse neurofibroma. AJR Am J Roentgenol. 2008;190:582–8.

    Article  PubMed  Google Scholar 

  30. Gruber H, Glodny B, Bendix N, Tzankov A, Peer S. High-resolution ultrasound of peripheral neurogenic tumors. Eur Radiol. 2007;17:2880–8.

    Article  PubMed  Google Scholar 

  31. Chen W, Jia JW, Wang JR. Soft tissue diffuse neurofibromas: sonographic findings. J Ultrasound Med. 2007;26:513–8.

    PubMed  Google Scholar 

  32. Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT. From the archives of the AFIP imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation. Radiographics. 1999;19:1253–80.

    PubMed  CAS  Google Scholar 

  33. Roche NA, Monstrey SJ, Matton GE. Pilomatricoma in children: common but often misdiagnosed. Acta Chir Belg. 2010;110:250–4.

    PubMed  CAS  Google Scholar 

  34. Hwang JY, Lee SW, Lee SM. The common ultrasonographic features of pilomatricoma. J Ultrasound Med. 2005;24:1397–402.

    PubMed  Google Scholar 

  35. Choo HJ, Lee SJ, Lee YH, Lee JH, Oh M, Kim MH, et al. Pilomatricomas: the diagnostic value of ultrasound. Skeletal Radiol. 2010;39:243–50.

    Article  PubMed  Google Scholar 

  36. Solivetti FM, Elia F, Drusco A, Panetta C, Amantea A, Di Carlo A. Epithelioma of Malherbe: new ultrasound patterns. J Exp Clin Cancer Res. 2010;29:42.

    Article  PubMed  Google Scholar 

  37. Wortsman X, Wortsman J, Arellano J, Oroz J, Giugliano C, Benavides MI, et al. Pilomatrixomas presenting as vascular tumors on color Doppler ultrasound. J Pediatr Surg. 2010;45:2094–8.

    Article  PubMed  Google Scholar 

  38. Hassanein AH, Alomari AI, Schmidt BA, Greene AK. Pilomatrixoma imitating infantile hemangioma. J Craniofac Surg. 2011;22:734–6.

    Article  PubMed  Google Scholar 

  39. Blake PW, Toro JR. Update of cylindromatosis gene (CYLD) mutations in Brooke-Spiegler syndrome: novel insights into the role of deubiquitination in cell signaling. Hum Mutat. 2009;30:1025–36.

    Article  PubMed  CAS  Google Scholar 

  40. Brenn T, MacKee P. Tumors of the hair follicle. In: MacKee P, Calonje E, Granter S, editors. Pathology of the skin with clinical correlation. 3rd ed. Philadelphia: Elsevier/Mosby; 2005. p. 1519–63.

    Google Scholar 

  41. Bulat V, Mihi LL, Situm M, Buljan M, Blaji I, Pusi J. Most common clinical presentations of cutaneous mastocytosis. Acta Clin Croat. 2009;48:59–64.

    PubMed  Google Scholar 

  42. Horny HP, Sotlar K, Valent P. Mastocytosis: state of the art. Pathobiology. 2007;74:121–32.

    Article  PubMed  CAS  Google Scholar 

  43. Jr Marney SR. Mast cell disease. Allergy Proc. 1992;13:303–10.

    Article  PubMed  Google Scholar 

  44. Gilliam AC, Wood GS. Cutaneous lymphoid hyperplasias. Semin Cutan Med Surg. 2000;19:133–41.

    Article  PubMed  CAS  Google Scholar 

  45. Gupta S, Sharma VK. Standard guidelines of care: keloids and hypertrophic scars. Indian J Dermatol Venereol Leprol. 2011;77:94–100.

    Article  PubMed  Google Scholar 

  46. Viera MH, Caperton CV, Berman B. Advances in the treatment of keloids. J Drugs Dermatol. 2011;10:468–80.

    PubMed  CAS  Google Scholar 

  47. Couto Júnior Ade S, Batista GM, Calafiori IG, Radael VC, Mendes WB. Hidrocystoma: surgical management of cystic lesions of the eyelid. An Bras Dermatol. 2010;85:368–71.

    Article  PubMed  Google Scholar 

  48. Chin K, Finger PT, Iacob C. High-frequency ultrasound imaging of periocular hidrocystomas. Optometry. 2003;74:760–4.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ximena Wortsman MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Wortsman, X., Bouer, M. (2013). Common Benign Non-vascular Skin Tumors. In: Wortsman, X. (eds) Dermatologic Ultrasound with Clinical and Histologic Correlations. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7184-4_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7184-4_5

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7183-7

  • Online ISBN: 978-1-4614-7184-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics