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

Junkyu Chung; Shin-Myeong Choi; Ji Sang Han; Jae-Ho Shin; Tae Gi Kim

doi:10.3341/jkos.2018.59.9.871

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Chung, Choi, Han, Shin, and Kim: A Case of Steatocystoma Simplex and Sebaceous Gland Hyperplasia of the Bilateral Lacrimal Caruncle

Case Report

Journal of the Korean Ophthalmological Society 2018; 59(9): 871-875.

Published online: 17 September 2018

DOI: https://doi.org/10.3341/jkos.2018.59.9.871

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

Junkyu Chung, MD¹, Shin-Myeong Choi, MD¹, Ji Sang Han, MD², Jae-Ho Shin, MD, PhD¹, Tae Gi Kim, MD, PhD¹

¹Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

²Department of Medicine, Kyung Hee University Graduate School, Seoul, Korea.

Address reprint requests to Tae Gi Kim, MD, PhD. Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, #892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea. Tel: 82-2-440-7751, Fax: 82-2-440-7756, tk1213@hanmail.net

Received 26 April 2018 Revised 24 May 2018 Accepted 28 August 2018

The Korean Ophthalmological Society

(open-access):

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

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.

Keywords: Lacrimal caruncle, Sebaceous gland hyperplasia, Steatocystoma

Figures and Tables

Figure 1

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

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).

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).

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).

Notes

^{Conflicts of Interest} The authors have no conflicts to disclose.

References

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