Tseng Michael C, Amin Bijal, Barmettler Anne
a Department of Ophthalmology and Visual Sciences , Montefiore Medical Center, Albert Einstein College of Medicine , Bronx , NY , USA.
b Department of Pathology, Montefiore Medical Center , Albert Einstein College of Medicine , Bronx , NY , USA.
Orbit. 2018 Jun;37(3):171-174. doi: 10.1080/01676830.2017.1383477. Epub 2017 Oct 20.
A major review of the literature of syringocystadenoma papilliferum's (SCAP's) presentation and management is presented. In addition, a case report of this unique diagnosis presenting as a corneal abrasion in a 66-year-old-male is included. This benign adnexal tumor of the apocrine glands is most commonly found in the face and neck. When found on the eyelids, these lesions are commonly misdiagnosed as basal cell carcinoma or cysts. Diagnosis is made based on histopathology. Treatment is complete excision of the lesion and this has a low recurrence rate. While predominantly benign, there have been cases of basal cell carcinoma development or other malignant transformations. Of the 26 reported cases of SCAP of the eyelids, none have caused a corneal abrasion. The authors present the only known presentation of eyelid SCAP, causing corneal abrasions, and provide a review of literature with discussion of clinical presentation, natural history, diagnosis, and treatment of this rare, eyelid lesion with potential for malignant transformation.
本文对乳头状汗腺囊腺瘤（SCAP）的临床表现及治疗进行了全面综述。此外，还纳入了一例66岁男性患者以角膜擦伤形式表现出这一独特诊断的病例报告。这种大汗腺的良性附属器肿瘤最常见于面部和颈部。当出现在眼睑上时，这些病变通常被误诊为基底细胞癌或囊肿。诊断基于组织病理学。治疗方法是彻底切除病变，复发率较低。虽然主要为良性，但也有发生基底细胞癌或其他恶性转化的病例。在已报道的26例眼睑SCAP病例中，无一例导致角膜擦伤。作者呈现了眼睑SCAP导致角膜擦伤这一唯一已知的表现形式，并对文献进行了综述，讨论了这种罕见的、有恶性转化可能的眼睑病变的临床表现、自然病程、诊断及治疗。
