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.

Keywords: Orbit, Sudoriferous cyst

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Figure 1.

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

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.

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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