TY - JOUR AR - SCR-2022-8-104 TI - Giant Epidermal Cyst Mimicking Aggressive Fibromatosis of the Breast AU - Emily, Austin AU - Smith, Megan AU - Barbara, Wexelman JO - Surgical Case Reports PY - 2022 DA - Tue 09, Aug 2022 SN - 2613-5965 DO - http://dx.doi.org/10.31487/j.SCR.2022.08.04 UR - https://www.sciencerepository.org/giant-epidermal-cyst-mimicking_SCR-2022-8-104 KW - Fibromatosis, epidermal inclusion cyst, mastectomy, breast tumor, elderly AB - Fibromatosis of the breast represents <0.02% of all breast tumors. Typically, fibromatosis is non-metastasizing but locally aggressive and is treated with surgical excision. We report a case of a nonagenarian requiring mastectomy for an epidermal inclusion cyst that diagnostically mimicked fibromatosis of the breast. She underwent diagnostic breast imaging for a period of almost two years to monitor the size of her breast tumor. However, in a six-month timeframe, her mass dramatically increased in size and was becoming symptomatic to the patient. The rapidly growing tumor was concerning for occult breast malignancy.