DOI QR코드

DOI QR Code

Ultrasonographic and Computed Tomographic Features of Dermoid Cyst of the Neck in a Dog: A Case Report

  • Seong-Ju Oh (Department of Theriogenology and Biotechnology, College of Veterinary Medicine, Gyeongsang National University) ;
  • Gunha Hwang (Institute of Animal Medicine, Department of Veterinary Medical Imaging, College of Veterinary Medicine, Gyeongsang National University) ;
  • Eun-Chae Yun (Department of Veterinary Surgery, College of Veterinary Medicine, Gyeongsang National University) ;
  • Dongbin Lee (Department of Veterinary Surgery, College of Veterinary Medicine, Gyeongsang National University) ;
  • Sung-Lim Lee (Department of Theriogenology and Biotechnology, College of Veterinary Medicine, Gyeongsang National University) ;
  • Hee Chun Lee (Institute of Animal Medicine, Department of Veterinary Medical Imaging, College of Veterinary Medicine, Gyeongsang National University) ;
  • Tae Sung Hwang (Institute of Animal Medicine, Department of Veterinary Medical Imaging, College of Veterinary Medicine, Gyeongsang National University)
  • Received : 2024.07.09
  • Accepted : 2024.08.06
  • Published : 2024.08.31

Abstract

A 13-year-old castrated male mixed-breed dog presented for a health screening with a small nodule on the left hindlimb, which was revealed to be a mast cell tumor. A CT scan was performed to evaluate the mast cell tumor, and it incidentally revealed a well-marginated, fluid-attenuating, non-contrast enhanced mass in the deep ventral region of the left lower neck. Ultrasonography confirmed a well-capsulated mass with a cranio-ventrally protruding lesion extending into sternohyoid muscles. The outer layer of the mass had a hypoechoic thick wall and the internal parenchyma contained hyperechoic foci and multiple hyperechoic parallel lines. The mass was surgically resected. Histopathological examination confirmed a dermoid cyst characterized by cornifying squamous epithelial cells, keratinaceous debris, and hair shaft fragments. The dog showed no signs of recurrence or additional abnormalities three months post-surgery. This report highlights the importance of considering dermoid cysts in the differential diagnosis of neck masses on imaging examinations using CT or ultrasonography.

Keywords

Acknowledgement

This work was supported by the Institute of Animal Medicine of Gyeongsang National University.

References

  1. Akhtardanesh B, Kheirandish R, Azari O. Dermoid cyst in a domestic shorthair cat. Asian Pac J Trop Biomed 2012; 2: 247-249. https://doi.org/10.1016/S2221-1691(12)60051-3
  2. Alhusain ZZ, Witczak K, Shabaik A. Dermoid cyst of the parotid gland: case report of a rare entity and review of the literature. Am J Case Rep 2023; 24: e939411.
  3. Anderson DM, White RA. Nasal dermoid sinus cysts in the dog. Vet Surg 2002; 31: 303-308. https://doi.org/10.1053/jvet.2002.33597
  4. Andreotti RF, Timmerman D, Strachowski LM, Froyman W, Benacerraf BR, Bennett GL, et al. O-RADS US risk stratification and management system: a consensus guideline from the ACR Ovarian-Adnexal Reporting and Data System Committee. Radiology 2020; 294: 168-185. https://doi.org/10.1148/radiol.2019191150
  5. Appelgrein C, Hosgood G, Reese SL. Computed tomography findings and surgical outcomes of dermoid sinuses: a case series. Aust Vet J 2016; 94: 461-466. https://doi.org/10.1111/avj.12521
  6. Barrios N, Gomez M, Mieres M, Vera F, Alvial G. Spinal dermoid sinus in a Dachshund with vertebral and thoracic limb malformations. BMC Vet Res 2014; 10: 54.
  7. Choi JS, Bae YC, Lee JW, Kang GB. Dermoid cysts: epidemiology and diagnostic approach based on clinical experiences. Arch Plast Surg 2018; 45: 512-516. https://doi.org/10.5999/aps.2018.00017
  8. Chorney SR, Irace AL, Sobin L. Cervical dermoid cysts. Oper Tech Otolayngol Head Neck Surg 2017; 28: 179-182. https://doi.org/10.1016/j.otot.2017.05.017
  9. Chung BM, Kim WT, Park CK, Kim MA. Dermoid cyst in the subcutaneous tissues of the back: a rare case with multimodal imaging and pathologic correlation. Radiol Case Rep 2021; 16: 1127-1132. https://doi.org/10.1016/j.radcr.2021.02.044
  10. Comerci JT Jr, Licciardi F, Bergh PA, Gregori C, Breen JL. Mature cystic teratoma: a clinicopathologic evaluation of 517 cases and review of the literature. Obstet Gynecol 1994; 84: 22-28.
  11. Diercks GR, Iannuzzi RA, McCowen K, Sadow PM. Dermoid cyst of the lateral neck associated with the thyroid gland: a case report and review of the literature. Endocr Pathol 2013; 24: 45-48. https://doi.org/10.1007/s12022-013-9234-2
  12. Gammie JS. Dermoid sinus removal in a rhodesian ridgeback dog. Can Vet J 1986; 27: 250-251.
  13. Hillbertz NH, Andersson G. Autosomal dominant mutation causing the dorsal ridge predisposes for dermoid sinus in Rhodesian ridgeback dogs. J Small Anim Pract 2006; 47: 184-188. https://doi.org/10.1111/j.1748-5827.2006.00016.x
  14. Min LC. CT and ultrasound in the diagnosis of orbital dermoid cysts - a retrospective study at the University Teaching Hospital in Lusaka. Med J Zamb 2008; 35: 58-61.
  15. Munoz E, Leiva M, Naranjo C, Pena T. Retrobulbar dermoid cyst in a horse: a case report. Vet Ophthalmol 2007; 10: 394-397. https://doi.org/10.1111/j.1463-5224.2007.00571.x
  16. Oryan A, Hashemnia M, Mohammadalipour A. Dermoid cyst in camel: a case report and brief literature review. Comp Clin Pathol 2012; 21: 555-558. https://doi.org/10.1007/s00580-010-1128-9
  17. Rahal S, Mortari AC, Yamashita S, Filho MM, Hatschbac E, Sequeira JL. Magnetic resonance imaging in the diagnosis of type 1 dermoid sinus in two Rhodesian ridgeback dogs. Can Vet J 2008; 49: 871-876.
  18. Saberi M, Azari O, Kheirandish R, Rasouli R, Aghazamani M, Mohebbi E. Intestinal dermoid cyst in a German shepherd dog. J S Afr Vet Assoc 2013; 84: E1-E3. https://doi.org/10.4102/jsava.v84i1.911
  19. Shareef S, Ettefagh L. Dermoid cyst. In: StatPearls. Treasure Island: StatPearls Publishing. 2023.
  20. Triplett TM, Griffith A, Hatanpaa KJ, Barnett SL. Dermoid cyst of the infratemporal fossa: case report and review of the literature. J Neurol Surg Rep 2014; 75: e33-e37. https://doi.org/10.1055/s-0033-1358795
  21. Tshamala M, Moens Y. True dermoid cyst in a Rhodesian ridgeback. J Small Anim Pract 2000; 41: 352-353. https://doi.org/10.1111/j.1748-5827.2000.tb03217.x
  22. Vieira EM, Borges AH, Volpato LE, Porto AN, Carvalhosa AA, Botelho GA, et al. Unusual dermoid cyst in oral cavity. Case Rep Pathol 2014; 2014: 389752.