Journal List > J Korean Ophthalmol Soc > v.54(6) > 1009712

Moon, Lee, and Ahn: A Case of Idiopathic Orbital Sudoriferous Cyst in an Adult

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 × 1.5 cm-sized hard orbital mass was palpated in the middle area of the right upper orbit. On sono-graphic 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 in-volving the orbit in adult patients.

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Figure 1.
Preoperative photograph showing right superomedial orbital swelling, fixed to the deep orbital planes on palpation.
jkos-54-962f1.tif
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.
jkos-54-962f2.tif
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).
jkos-54-962f3.tif
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