J Korean Ophthalmol Soc.  2013 Jun;54(6):962-965. 10.3341/jkos.2013.54.6.962.

A Case of Idiopathic Orbital Sudoriferous Cyst in an Adult

• Moon K
• Lee DW
• Ahn M

• KMID: 2217275
• DOI: http://doi.org/10.3341/jkos.2013.54.6.962

Abstract

PURPOSE
To report a rare case of an idiopathic sudoriferous cyst involving the orbit in an adult.
CASE SUMMARY
A 52-year-old male visited our clinic with an orbital mass in the right eye, which had developed 4 months prior to admission. A 2 x 1.5 cm-sized hard orbital mass was palpated in the middle area of the right upper orbit. On sonographic imaging, a well-demarcated tumor was identified that showed no echogenicity. We performed anterior orbitotomy with a lid crease incision. The tumor was completely removed. Histopathological examination showed a solitary cyst lined with two or three layers of cuboidal epithelial cells with scattered goblet cells. The tumor was classified as a sudoriferous cyst.
CONCLUSIONS
Sudoriferous cyst should be considered in the differential diagnosis of a well-circumscribed mass lesion involving the orbit in adult patients.

Keyword

Orbit; Sudoriferous cyst

MeSH Terms

Adult
Bone Cysts
Diagnosis, Differential
Epithelial Cells
Eye
Goblet Cells
Humans
Male
Orbit

Figure

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  Figure 1. Preoperative photograph showing right superomedial orbital swelling, fixed to the deep orbital planes on palpation.

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  Figure 2. The ultrasound image of the right superomedial orbit showing the well-demarcated, thin walled, anechoic mass, consistent with cyst beneath the muscle layer.

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  Figure 3. Hispathologic photographs of the specimen. (A) Low power view of the cyst showing areas of ductal cyst with fibrous tis-sue wall (H&E stain, ×40). (B) High power view of the cyst showing areas of double layered cuboidal cell lining, the inner layer showing apical snouts (H&E stain, ×400). (C) High power view of the cyst showing Periodic acid Schiff (PAS) positive apical gly-cocalyx (PAS stain, ×400).

Reference

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