Vagefi M Reza, Lin Chun Cheng, McCann John D, Anderson Richard L
Center for Facial Appearances, Salt Lake City, Utah 84102, USA.
Ophthalmic Plast Reconstr Surg. 2008 Jul-Aug;24(4):323-4. doi: 10.1097/IOP.0b013e31817d89f8.
A 78-year-old white man presented with a painless, right upper eyelid mass causing mechanical ptosis. There was no prior history of trauma, surgery, or eyelid inflammation. Examination revealed a firm, globular mass that was fixed to the tarsal plate of the upper eyelid. Excisional biopsy performed through an upper eyelid crease incision revealed a mass securely attached to the tarsal plate which upon separation leaked cheesy, malodorous material. Histopathologic sections demonstrated a cyst lined by squamous epithelium containing laminated keratin consistent with a diagnosis of an epidermoid cyst. The authors report, to their knowledge, the first description of an epidermoid cyst of the tarsal plate. As with epidermoid cysts in other locations, surgical excision is the treatment of choice.
一名78岁白人男性因右上睑无痛性肿块导致机械性上睑下垂前来就诊。既往无创伤、手术或眼睑炎症史。检查发现一个质地坚硬的球形肿块，与上睑睑板固定。通过上睑皱襞切口进行切除活检，发现一个牢固附着于睑板的肿块，分离时流出奶酪样、有恶臭的物质。组织病理学切片显示一个由鳞状上皮衬里的囊肿，含有板层状角蛋白，符合表皮样囊肿的诊断。据作者所知，本文首次报道了睑板表皮样囊肿。与其他部位的表皮样囊肿一样，手术切除是首选治疗方法。
