A Case of Idiopathic Orbital Sudoriferous Cyst in an Adult

Kayoung Moon; Dong-Wook Lee; Min Ahn

doi:10.3341/jkos.2013.54.6.962

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

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

Original Article

J Korean Ophthalmol Soc 2013;54(6):962-965.

Published online: 7 September 2013

DOI: https://doi.org/10.3341/jkos.2013.54.6.962

A Case of Idiopathic Orbital Sudoriferous Cyst in an Adult

Kayoung Moon, MD, Dong-Wook Lee, MD, PhD, Min Ahn, MD, PhD

Department of Ophthalmology, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea

Address reprint requests to Min Ahn, MD, PhD Department of Ophthalmology, Chonbuk National University Hospital #567 Baekje-daero, Deokjin-gu, Jeonju 561-756, Korea Tel: 82-63-250-1965, Fax: 82-63-250-1960, E-mail: ahnmin@jbnu.ac.kr

Received 14 September 20127 March 2013 Accepted 15 May 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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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Keywords: Orbit, Sudoriferous cyst

References

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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).

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