Ocular Oncology Service, Centre for Sight, Asoka Capitol Building, Road No 2, Banjara Hills, Hyderabad, Telangana, India.
Ocular Pathology Service, Centre for Sight, Asoka Capitol Building, Road No 2, Banjara Hills, Hyderabad, Telangana, India.
Indian J Ophthalmol. 2019 Jul;67(7):1238-1240. doi: 10.4103/ijo.IJO_1764_18.
A 20-year-old male presented with a gradually growing mass in the left lateral brow region for 2 years. On imaging, the mass appeared to arise from the lacrimal gland, was cystic, without any bony abnormality. With a diagnosis of dermoid cyst, an excision biopsy was performed. The histopathology revealed an epithelium-lined cyst, with the wall of the cyst comprising dermal adnexa and inflammatory cells. The wall also contained fragments of skeletal muscle, nerve bundles, adipose tissue, exocrine and secretory acini, few blood vessels with occasional hair shafts, with the lacrimal gland in the periphery of the tumor. There were no immature elements, atypia, and malignant cells, thus confirming the diagnosis of a mature cystic teratoma. Primary lacrimal gland teratoma is a rare diagnosis and its presentation in adults is extremely uncommon.
一位 20 岁男性，2 年来左侧眉外侧逐渐出现一肿块。影像学检查提示肿块起源于泪腺，呈囊性，无骨异常。诊断为皮样囊肿，行切除活检。组织病理学显示为内衬上皮的囊腔，囊壁由皮肤附属器和炎症细胞构成。囊壁还包含骨骼肌片段、神经束、脂肪组织、外分泌和分泌腺、少量血管和偶尔的毛发，肿瘤的周边有泪腺。未见不成熟成分、非典型性和恶性细胞，因此确诊为成熟囊性畸胎瘤。原发性泪腺畸胎瘤是一种罕见的诊断，成人中极为少见。
