Perry Julian D, Tuthill Ralph
Cole Eye Institute, Cleveland, Ohio, USA.
Am J Ophthalmol. 2003 Mar;135(3):413-5. doi: 10.1016/s0002-9394(02)01961-x.
To describe a case of simultaneous dermoid cysts in the lateral orbit and temporal fossa.
Interventional case report.
A 7-year-old boy with a lateral orbital mass and infratemporal fossa mass underwent computed tomography and surgical excision.
Intraoperatively, two distinct cystic lesions were identified. The orbital lesion extended just beneath the lateral rim. The temporal fossa lesion extended posteriorly along the temporal fossa. No bony defect in the lateral orbital wall was identified, and each distinct lesion was completely excised.
To our knowledge, this is the first reported case of multiple dermoid cysts in the orbital region. When imaging studies demonstrate separate cystic lesions and do not reveal a bony defect in the lateral orbital wall, multiple lesions should be suspected.
描述一例同时发生于眶外侧和颞窝的皮样囊肿病例。
介入性病例报告。
一名患有眶外侧肿物和颞下窝肿物的7岁男孩接受了计算机断层扫描和手术切除。
术中发现两个不同的囊性病变。眼眶病变延伸至外侧眶缘下方。颞下窝病变沿颞下窝向后延伸。未发现眶外侧壁骨质缺损，每个不同的病变均被完整切除。
据我们所知，这是首例报道的眶区多发皮样囊肿病例。当影像学检查显示为独立的囊性病变且未发现眶外侧壁骨质缺损时，应怀疑存在多个病变。
