Clinical Masquerades in Physiognomy of Sebaceous Cysts Unveiled on Histopathological Examination: a Spectrum of Cases

Sebaceous cysts are one among the most commonly encountered subcutaneous nodular lesions in clinical practice. They can form all over the body with face, neck and trunk being the favored sites. On clinical examination, they can mimic non-neoplastic and neoplastic lesions as presenting features are non-specific. Histopathological examination becomes mandatory for confirmation. We present a series of lesions suspected to be sebaceous cysts clinically but gave a discordant diagnosis on microscopic examination. This case series is presented with an intent to reaffirm the practice of submitting all clinical suspects of sebaceous cysts for histopathological examination post excision, as a different tissue diagnosis if any may have patient implications in terms of surgical procedures, treatment and follow-up.