What is the diagnosis?Answer Epidermal cyst. The histology shows a cyst containing eosinophilic materials surrounded by epithelium. There are no dermal structures such as hair follicles or sebaceous glands seen. What may happen if the cyst is incompletely excised? a Answer The cyst may reform if the excision is incomplete. The content of the cyst may spill into the surrounding structures when the excision is incomplete or if the wall is breached. This can lead to chronic inflammation with foreign body giant cells.