Eshraghi Bahram, Shahsanaei Azadeh, Abounoori Mahdi, Pourazizi Mohsen
Isfahan Eye Research Center, Department of Ophthalmology, Isfahan University of Medical Sciences, Isfahan, Iran.
Private Office, Isfahan, Iran.
Ann Med Surg (Lond). 2022 Jun 20;79:103997. doi: 10.1016/j.amsu.2022.103997. eCollection 2022 Jul.
Intraorbital epidermoid and dermoid cyst (DC) has been reported in the literature rarely. The current study evaluates clinicopathologic, radiologic, and management of intraorbital DC cases over ten years.
In this cross-sectional study, the medical records of patients with intraorbital DC treated at the academic referral center for ocular surgery were retrospectively reviewed. Data reviewed included the patient's demographic characteristics, clinical features, imaging, surgical technique, and pathology report.
Nine patients with a rare presentation of intraorbital DC were reviewed within the study period in five presentations (five intraosseous, one intraconal, one dumbbell-shaped with a large part in anterior orbit, one juxta levator palpebral muscle, and one recurrent case with intracranial extension). They ranged from 8 to 53 years of age, with a median of 29 years, and five (55.6%) were female. Histopathological evaluation revealed two cysts were epidermoid.
The current study provides more clinical and radiologic manifestations of rare presentations of DC that highlight the importance of high clinical suspicion in the approach to atypical DC.
眼眶内表皮样囊肿和皮样囊肿（DC）在文献中的报道很少。本研究评估了10年间眼眶内DC病例的临床病理、放射学表现及治疗情况。
在这项横断面研究中，对在眼科手术学术转诊中心接受治疗的眼眶内DC患者的病历进行了回顾性分析。所分析的数据包括患者的人口统计学特征、临床特征、影像学表现、手术技术及病理报告。
在研究期间，共回顾了9例表现罕见的眼眶内DC患者，有5种表现形式（5例骨内型、1例肌锥内型、1例哑铃型且大部分位于眶前部、1例眶隔前睑提肌旁型、1例复发并伴有颅内扩展型）。患者年龄在8至53岁之间，中位年龄为29岁，5例（55.6%）为女性。组织病理学评估显示2例囊肿为表皮样囊肿。
本研究提供了DC罕见表现形式更多的临床和放射学表现，突出了对非典型DC高度临床怀疑在诊疗中的重要性。
