Yazici Bulent, Kiristioglu Omer, Karaman Gulzade
Department of Ophthalmology, Uludag University, Bursa, Turkey.
Biyo-Tip Pathology Center, Bursa, Turkey.
Ophthalmic Plast Reconstr Surg. 2023;39(2):e50-e52. doi: 10.1097/IOP.0000000000002311. Epub 2023 Jan 18.
Congenital conjunctival cysts often occur in the medial orbit without adjacent bone destruction and have not been previously reported in a dumbbell configuration. A 46-year-old female patient presented with left proptosis and headache. A radiological study revealed a large, cystic, bilobed mass in the orbital-temporal area with an osseous defect in the lateral wall. A histological examination of the excised lesion showed that the cyst wall consisted of non-keratinized stratified epithelium with goblet cells. There was no recurrence during the follow-up. Of the previously reported 54 cases, only 1 had bone erosion due to a recurrent cyst in the frontal bone. Although rare, a primary conjunctival cyst can create a dumbbell-shaped lesion in the lateral orbit and temporal fossa.
先天性结膜囊肿常发生于眶内侧，无相邻骨质破坏，此前尚无哑铃状形态的相关报道。一名46岁女性患者出现左眼球突出和头痛症状。影像学检查显示，眶颞部有一个大的囊性双叶肿块，外侧壁有骨质缺损。对切除病变进行组织学检查发现，囊肿壁由含有杯状细胞的非角化复层上皮组成。随访期间无复发。在之前报道的54例病例中，只有1例因额骨复发性囊肿出现骨质侵蚀。原发性结膜囊肿虽然罕见，但可在眶外侧和颞窝形成哑铃状病变。
