cyst

Cyst



A cyst is a pathological cavity in the body (pathomorphological it is regressive changes) which is filled with liquid, semi-solid or solid (different cohesion and composition) – it is clear, amber, brown, exfoliated epithelial mass or skin appendages. The cause of these features in the soft tissues may be a malformations (congenital), obstruction the glandular ducts or organ (congestive cysts) or other (idiopathic, after-infectious, etc.). It can be formed in the course of some diseases (polycystic ovary syndrome, polycystic renal disease). Diagnosis is based on the clinical picture, which is confirmed by radiological examinations (e.g. renal ultrasonography is the gold standard for detection renal cystic) and microscopic examination (biopsy, discharge examination). In rare cases, cysts can undergo malignant transformation, so every change of this type must be subjected to regular observation.


Types



a) cysts - lined by epithelium (e.g. renal cysts);

b) pseudocysts - without epithelial lining (e.g. cysts in the pancreas in cystic fibrosis or parasitic cysts);

c) haemorrhagic - ovarian follicle that has not ruptured.


Another division based on pathogenesis:

a) congenital

b) secondary (e.g. hepatic cysts).


Treatment



The method of choice in the case of asymptomatic cysts and without risks is observation of changes. In other cases, the mainstay of treatment is surgical removal of the pathological change. Treatment may be one or two stages. In the first case, all changes are removed during one procedure; in two stages - at first, requires decompression of the contents and then remove it. It is total removal of the capsule because some cysts have a tendency to regrowth.

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Pedunculated Aryepiglottic Cyst
5

Pedunculated Aryepiglottic Cyst

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Pedunculated right aryepiglottic cyst as seen during direct laryngoscopy. It was excised using CO2 laser. 

Left Tongue Base Cyst
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Left Tongue Base Cyst

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In incidental finding of left tongue base cyst in a 71 yr old male patient presenting with dysphonia.

Maxillary Sinus Cyst
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Maxillary Sinus Cyst

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4.5

Maxillary sinoscopy. There is a medium-sized cyst over the lacrimal eminence on the medial wall of the maxillary sinus. Mucus is being transported over this small cyst without any difficulty toward the...

Idiopathic Cystic Chondromalacia of the Pinna
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Idiopathic Cystic Chondromalacia of the Pinna

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Idiopathic Cystic Chondromalacia is a cystic degeneration of the auricular cartilage of unknown origin, which may be mistaken both clinically and histologically for relapsing polychondritis. Clinically,...

Patient with Pneumatosis Intastinalis
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Patient with Pneumatosis Intastinalis

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Pneumotasis intestinalis: Patient with pneumatosis intastinalis who came to clinical attention for perforation of one cyst and intestinal obstruction.

Thyroglossal Cyst
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Thyroglossal Cyst

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Mid line swelling that moves with swallowing and protrusion of the tongue.

Vocal Fold Cyst
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Vocal Fold Cyst

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5

Figure shows a smooth and fusiform swelling involving the right vocal fold due to cyst.

Dermoid Cyst Of Scalp
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Dermoid Cyst Of Scalp

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Medical photo presents a dermoid cyst of the scalp. It is the most common type of mature teratoma. The treatment is a complete excision of a tumor and dermoid cysts can recur if not totally excised.

Resected Gut With Cyst
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Resected Gut With Cyst

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This medical picture shows a part of resected intestine with a cyst. Mesenteric cysts are rare abdominal findings. They usually are asymptomatic. Cysts may occur in each part of the mesentery.

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