J Korean Ophthalmol Soc.  2018 Sep;59(9):871-875. 10.3341/jkos.2018.59.9.871.

A Case of Steatocystoma Simplex and Sebaceous Gland Hyperplasia of the Bilateral Lacrimal Caruncle

• Chung J
• Choi SM
• Han JS
• Shin JH
• Kim TG

• KMID: 2420337
• DOI: http://doi.org/10.3341/jkos.2018.59.9.871

Abstract

PURPOSE
A case of bilateral lacrimal caruncle steatocystoma simplex and sebaceous gland hyperplasia, which rarely occurs in the periocular area, is reported.
CASE SUMMARY
A 42-year-old female presented with a bilateral caruncular mass, which had been growing for a few months. A physical examination revealed soft, non-tender, rounded masses and no other ophthalmic findings. Under local anesthesia, the masses were completely excised. In the histopathological examination, a cystic mass containing a sebaceous gland in the stratified squamous epithelium cyst wall was found. A hyperplastic sebaceous gland and a dilated sebaceous gland duct were also found. Steatocystoma simplex and sebaceous gland hyperplasia, respectively, were diagnosed. There was no recurrence or complication after excision.
CONCLUSIONS
Steatocystoma simplex and sebaceous gland hyperplasia are benign tumors that rarely occur in the lacrimal caruncle. They can be diagnosed and treated by complete excision. Steatocystoma simplex and sebaceous gland hyperplasia should therefore be considered as differential diagnoses of a lacrimal caruncle mass.

Keyword

Lacrimal caruncle; Sebaceous gland hyperplasia; Steatocystoma

MeSH Terms

Adult
Anesthesia, Local
Diagnosis, Differential
Epithelium
Female
Humans
Hyperplasia*
Physical Examination
Recurrence
Sebaceous Glands*

Figure

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  Figure 1 Preoperative anterior segment photography. Light yellowish masses in the right lacrimal caruncle (arrow) (A) and in the left lacrimal caruncle (arrow) (B).

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  Figure 2 Pathological findings of the mass in the right lacrimal caruncle. (A) Cystic mass lined by non-keratinizing stratified squamous epithelium (arrow) contained sebaceous lobules (asterisk) (hematoxylin and eosin [H&E] stain, ×40). (B) Eosinophilic cuticle lining (arrowhead) of the cyst wall (H&E stain, ×200).

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  Figure 3 Pathologic findings of the mass in the left lacrimal caruncle. (A) Hyperplastic sebaceous lobules connected to dilated central sebaceous duct (asterisk) (hematoxylin and eosin [H&E] stain, ×100). (B) Well-circumscribed sebaceous lobules with no cellular or nuclear atypia (H&E stain, ×200).

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  Figure 4 Postoperative anterior segment photography. No recurrence or complication was observed at 2 months after excision in the right lacrimal caruncle (A) and the left lacrimal caruncle (B).

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