A cystic lesion with fibrotic wall and lining by hyperkeratotic stratified squamous epithelium. Lumen of cyst is full of keratin flakes. No evidence of specific granulomas. No evidence of malignancy.
Perineal cyst.
Excised skin covered cyst measured 6.5x6x5.5 cm, filled with brownish greasy material. Capsule is intact.
Perineal cyst, excision: