Alexa Anisia-Iuliana, Leferman Carmen-Ecaterina, Ciubotaru Alin Dumitru, Sandu Ioana Alexandra, Sandu Calina Anda, Bogdănici Camelia Margareta
Department of Ophthalmology, "Grigore T. Popa" University of Medicine and Pharmacy, Iaşi, Romania.
Department of Pharmacology, "Grigore T. Popa" University of Medicine and Pharmacy, Iași, Romania.
J Med Life. 2023 Oct;16(10):1575-1578. doi: 10.25122/jml-2023-0539.
Epidermal inclusion cysts in the periocular region are distinctive pathologies exhibiting varied clinical and radiological features, and they should be taken into consideration in the differential diagnosis of cystic lesions near the orbit. This article discusses the clinical and radiological details, along with the surgical results, of two individual cases of epidermal inclusion cysts, with different localization and without any preceding trauma, surgical history, or eyelid inflammation. In the first case, a substantial spherical structure closely connected to the tarsal plate was identified via excisional biopsy, whereas the second case involved a soft, oval tumor located at the outer right orbital corner, as determined clinically and validated through computed tomography. The histological examination showed cysts lined with a keratinized squamous layer, confirming an epidermoid cyst. The surgical removal of the cysts led to esthetically satisfactory outcomes in both cases. The particularity of the presented cases lies in the locations and considerable sizes of the tumors, which have complicated their surgical management. Such instances of epidermal inclusion cysts attached to the tarsus are rarely reported in the literature.
眼周区域的表皮样囊肿是具有独特临床和影像学特征的特殊病变，在眼眶附近囊性病变的鉴别诊断中应予以考虑。本文讨论了两例表皮样囊肿的临床和影像学细节以及手术结果，这两例囊肿位置不同，且无任何既往创伤、手术史或眼睑炎症。第一例中，通过切除活检发现一个与睑板紧密相连的实质性球形结构；而第二例临床诊断为位于右外眼角的一个柔软椭圆形肿物，并经计算机断层扫描证实。组织学检查显示囊肿内衬角化鳞状上皮层，确诊为表皮样囊肿。两例囊肿手术切除后均获得了美学上令人满意的效果。所呈现病例的特殊性在于肿瘤的位置和较大尺寸，这使得手术处理变得复杂。文献中很少报道附着于睑板的此类表皮样囊肿病例。
