Nasal Epidermal Inclusion Cyst in a horse: Case Report


Published: Jul 10, 2022
Keywords:
horse nasal epidermal inclusion cyst atheroma cyst removal
M Psyllaki
https://orcid.org/0000-0003-1985-3401
N Diakakis
https://orcid.org/0000-0002-4826-641X
Abstract
Nasal epidermal inclusion cysts, previously known as “atheroma” or “sebaceous cyst”, are cutaneous lesions that occur in the caudodorsal aspect of the nasal diverticulum, between the epithelium of the diverticulum and the skin of the nostril. They are mostly benign, asymptomatic, non-painful, and are primarily of cosmetic significance. Nasal epidermal inclusion cysts are rather rare in horses in contrast with other species or humans. According to our knowledge, nasal epidermal inclusion cysts have not previously been reported across the Mediterranean basin. A 12-year-old, Warmblood gelding was presented to the Equine unit, Aristotle University of Thessaloniki for evaluation of a facial swelling on the right side of the nose. The swelling was first observed 2 years before presentation and had progressively increased in size. On presentation, the horse was bright, alert, responsive and all parameters of the clinical examination were within normal limits. The presence of a large, fluctuating cyst, of approximately 6cm in diameter was noted on the caudodorsal aspect of the right nasal diverticulum. Based on the location and clinical characteristics, a diagnosis of nasal epidermal inclusion cyst was made, and surgical removal was elected. Following anesthesia, a linear skin incision up approximately 8cm long, directly over the epidermal inclusion cyst was made through the skin and subcutaneous tissues. The cyst was dissected from the surrounding tissues, drainage of the wound into the false nostril was done by making a 2-cm incision from the defect into the false nostril and the operating site was thoroughly lavaged. The horse was re-examined 2 months later and showed complete resolution of clinical signs with no complications. The surgical wound had closed completely leaving no obvious scar. The horse was still blemish - free two years after surgery.
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References
Ali, M. M., & Abd El-Hakiem, M. A. (2012). Ultrasonographic Differential Diagnosis of Superficial Swellings in Farm Animals. Journal of Advanced Veterinary Research, 2(4):292-298.
Barnes, H., Gillen, A.M., Brown, J. and Archer, D.C. (2021), Surgical repair and reconstruction of a nasal fistula following intra‐lesional formalin injection. Equine Vet Educ.
Boles, Charles (1979). Abnormalities of the Upper Respiratory Tract. Veterinary Clinics of North America: Large Animal Practice, 1(1), 89–111.
Brünott, A., Kroeze, V., Ensink, J. M., Laan, T. T. J. M., & Van
Oldruitenborgh-Oosterbaan, M. M. S. (2007). A colonic epidermoid cyst as a cause of chronic recurrent colic in a horse. Equine Veterinary Education, 19(3), 123–128.
Camus A.C., Burba D.J., Valdes M.A., Taylor H.W. (1996). Intraosseous epidermoid cyst in a horse. Journal of Amer- ican Veterinary Medicine Association 209 (3), 632-633.
Cramp, P. A., Prange, T., & Nickels, F. A. (2014). Standing equine surgery of the upper respiratory tract. Veterinary Clinics of North America - Equine Practice, 30(1), 111–141.
Deshmukh NS, Belgaumkar VA, Mhaske CB, Doshi BR. (2017) .Intralesional drug therapy in dermatology. Indian J Dermatol Venereol Leprol 83:127-32.
Dixon PM. Swellings- of the head- region in the horse. In Practice 13, 257-263; DOI: 10.1136/inpract.13.6.257
Earl M. Gaughan, Richard M. DeBowes, (1993) , Congenital Diseases of the Equine Head. Veterinary Clinics of North America: Equine Practice, 9(1): 93-110.
Ffrooz, A., Tehranchia-Nia, Z. and Ahmed, A. (1995), Benefits and risks of intralesional corticosteroid injection in the treatment of dermatological diseases. Clinical and Experimental Dermatology, 20: 363-370.
Frankeny, R. L. (2003). Intralesional administration of formalin for treatment of epidermal inclusion cysts in five horses. Journal of the American Veterinary Medical Association, 223(2), 221–222.
Fraser, B., Else, R. W., & Jones, E. (2006). Intraosseous epidermoid cyst of the third phalanx in a thoroughbred gelding. Veterinary Record, 159(11), 360–362.
Fu, K. Y., Light, A. R., & Maixner, W. (2001). Long-lasting inflammation and long-term hyperalgesia after subcutaneous formalin injection into the rat hindpaw. Journal of Pain, 2(1), 2–11.
Gable, D.O., Geiser, D.R. and Jones, R.D. (1979) Examination, diagnosis and treatment of equine upper respiratory disorders, Part I. J. equine Med. Surg. 3, 162-16
Gaugham EM: Surgery of the upper respiratory tract. In Kobluk CN, Ames TR, Geor RJ (eds): The Horse Diseases and Clinical Management, vol I. Philadelphia: WB Saunders, 1995, p 244.
Ginel, P. J., Zafra, R., Lucena, R., & Bautista, M. J. (2007). Multiple generalized follicular cysts in a stallion. Veterinary Dermatology, 18(6), 456–459.
Grant M. (2016). Integumentary system. Neoplastic and reactive diseases of the skin. In: Grant M. (editor). Jubb, Kennedy & Palmer’s Pathology of Domestic Animals. Sixth edition, Mosby Elsevier, St. Louis, MO, USO, pp 703-705.
Gunnarsdottir H., Chiers K., Praet M., Saunders J., Schau- vliege S., Vlaminck L. (2014). Case Report: Epithelial inclusion cysts of the frontal bones in three horses. Equine Veterinary Education 26 (7), 357-361.
Hamlat, A., Hua, F., Saikali, S., Laurent, J.F., Gedouin, D., Ben-Hassel, M. and Guegan, Y. (2005) Malignant transformation of intra- cranial epithelial cysts: systematic article review. J. Neurooncol. 74, 187-194
Headley, S. A., Kummala, E., Saarinen, H., Tupamäki, A., & Tulamo, R. M. (2009). Diagnostic exercise: intraosseous epidermoid cysts in the third phalanx of a dressage mare. Veterinary Pathology, 46(2), 355–357.
Hillyer, L. L., Jackson, A. P., Quinn, G. C., & Day, M. J. (2003). Epidermal (infundibular) and dermoid cysts in the dorsal midline of a three-year-old thoroughbred-cross gelding. Veterinary Dermatology, 14(4), 205–209.
Joostens, Z., Vanslambrouck, L., de Cock, H., & Mariën, T. (2019). Epithelial inclusion cyst of the equine digital flexor tendon sheath: Diagnosis by ultrasonography and magnetic resonance and successful treatment by tenoscopy. Vlaams Diergeneeskundig Tijdschrift, 88(6), 320–326.
Kelly DF, Watson WJ. Epidermoid cyst of the brain in the horse. Equine Vet J 1976; 8:110–112
Lloyd CDH, Littlewood JD, Craig JM. (2007) Nodules and Swellings. Pract Equine Dermatology: 63-99.
McGavin M.D., Zachary J.F. (2012). Pathology of organ systems. In: McGavin M.D., Zachary J.F. (editors). Pathologic Basis of Veterinary Disease. Fifth edition, Mosby Elsevier, St. Louis, MO, USA. pp 322-1244.
Muñoz, E., Leiva, M., Naranjo, C., & Peña, T. (2007). Retrobulbar dermoid cyst in a horse: A case report. Veterinary Ophthalmology, 10(6), 394–397.
Nickels, F.A. and O’Neill, H. (2019) Nasal passages and paranasal sinuses. In: Equine Surgery, Eds: J.A. Auer, J.A. Stick, J.M. Kummerle and T. Prange, Elsevier, Philadelphia. pp 698-710.
Pascoe, R.R., Summers, P.M. (1981) Clinical survey of tumours and tumour-like lesions in horses in south-east Queensland. Equine Veterinary Journal 13: 235–9.
Peters, M., Brandt, K., & Wohlsein, P. (2003). Intracranial epidermoid cyst in a horse. Journal of Comparative Pathology, 129(1), 89–92.
Sanz, M. G., Sampson, S. N., Schneider, R. K., Gavin, P. R., & Baszler, T. V. (2006). of a Horse by Use of Magnetic Resonance Imaging. 228(12).
Sawan, B., Vital, A., Loiseau, H., Dousset, V., Strub, D. and Vital, C. (2000). Squamous cell carcinoma developing in an intracranial prepontine epidermoid cyst. Annales de Pathologie, 20, 258–260
Schumacher, J., & Dixon, P. M. (2007). Diseases of the nasal cavities. In Equine Respiratory Medicine and Surgery. Elsevier Ltd.
Schumacher, J., Moll, H.D. and Crabill, M. (1997) A simple method to remove an epidermal inclusion cyst from the false nostril of horses. Equine Pract. 19, 11-13
Schumacher, J., Yarbrough, T., Pascoe, J., Woods, P., Meagher, D., & Honnas, C. (1998). Transendoscopic chemical ablation of Progressive Ethmoidal Hematomas in standing horses. Veterinary Surgery, 27(3), 175–181.
Scott E.A., Snoy P., Prasse K.W., Hoffman P.E., Thrall D.E. (1977). Intramural esophageal cyst in a horse. Journal of American Veterinary Medicine Association 171(7), 652- 654
Stenberg, T., Dowling, B. A., & Dart, A. J. (2004). Mandibular bone cysts in two horses. Australian Veterinary Journal, 82(7), 417–418.
Stephen B. Adams, John F. Fessler, (2000) Excision of a Nasal Epidermal Inclusion Cyst. In: Atlas of Equine Surgery, W.B Saunders Company, pp: 133- 134
Thomson, K. G. & Pool, R. R. (2002) Tumours in Domestic Animals. 4th edn. Ed D. J. Meuten. Ames, Iowa State Press. pp 315-317
Tremaine WH, Dixon PM. A long-term study of 277 cases of equine sinonasal disease. Part 2: Treatments and results of treatments. Equine Vet J. 2001;33(3):283-289.
Tremaine, W. H., & Dixon, P. M. (2002). Diseases of the Nasal Cavities and Paranasal Sinuses. In : Equine Respiratoy Diseases. Editor Lekeux P. Ithaca, New York, USA. www.ivis.org. Document No. B0312.0302.
Visser, E. M. S., Caliskan, N., Veraa, S., & Hermans, H. (2019). A retrobulbar dermoid cyst with involvement of the sinus in an 18-year-old pony. Equine Veterinary Education, 31(9):47–52.
Wellington, J.R., Scott, D.W (1991). Equine keratinizing cutaneous cysts. Equine Practice; 13 : 8–17
Williams M. and Nickels F. (2020) Abscessation following intralesional formalin treatment of congenital parotid salivary duct atresia. Equine vet. Educ. 32 (3) 132-135
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