Bouguila H, Malek I, Nacef L, Marrakchi S, Dagfous F, Ayed S
Institut d'Ophtalmologie de Tunis, Service du Pr S. Ayed Bab Saadoun, Tunis, Tunisie.
J Fr Ophtalmol. 1999 May;22(4):438-41.
Orbital dermoid cyst represents 3 to 4% of all primary orbital tumours. The intraorbital location is relatively rare. We report the case of a 9 year-old male child with an orbital dermoid cyst, who presented with progressive right proptosis, which had developed 3 months earlier. Visual acuity, ocular motility and funduscopic examination were normal. Imaging aspects (ultrasonography and computed tomography) have revealed an extraconical orbital, hypodense, well limited tumor, without bone destruction and no enhancement located at the postero-external side of the orbit. The tumors was extirpated surgically via a superior approach. Histopathology confirmed the diagnosis of dermoid cyst.
眼眶皮样囊肿占所有原发性眼眶肿瘤的3%至4%。眶内位置相对少见。我们报告一例9岁男性儿童眼眶皮样囊肿病例,该患儿表现为进行性右眼突出,3个月前出现。视力、眼球运动及眼底检查均正常。影像学检查(超声和计算机断层扫描)显示眶锥外有一个低密度、边界清晰的肿瘤,无骨质破坏,位于眼眶后外侧,无强化。通过上方入路手术切除肿瘤。组织病理学确诊为皮样囊肿。