In May I removed a soft tissue mass from this patients left big toe.  The pathology report came back as “epidermal inclusion cyst”.  In layman's terms this occurs when the outside dead layer of skin, the epidermis is inverted into the live dermal layer deeper where it does not belong.

Well, after removing the lesion I thought it was all gone, but the patient came back with a recurrence.

Today I had her come back and  I excised the lesion and sutured her up.  I’m pretty confident that the lesion is now gone forever… (click any picture to enlarge)