Rare orbital cystic lesions in children

Yan, Jianhua; Li, Yongping; Chen, Qiwen; Ye, Xuelian; Li, Jianqun

doi:10.1016/j.jcms.2014.11.013

Cited by 8 publications

(8 citation statements)

References 14 publications

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“…Dermoid cysts occur in various parts of the body and may be subcutaneous, subgaleal, intracranial, ovarian, testicular, or intraspinal in locations. [ 6 7 8 9 ] This is a case of a dermoid cyst in the subgaleal space over the anterior fontanelle.…”

Section: Discussionmentioning

confidence: 99%

“…There are three pathological types of dermoid cysts viz: the congenital dermoid cyst—teratoma type, occurring in the ovaries and testes; acquired dermoid cyst—from traumatic implantation of cells into deeper tissues (implantation dermoid cyst could follow surgery or lumbar puncture procedure); and the congenital inclusion dermoid cyst (CIDC)—from the inclusion of ectodermal cells as the neural groove closes between the third and fifth weeks of embryogenesis. [ 7 8 9 10 11 12 ]…”

Section: Discussionmentioning

confidence: 99%

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The value of ultrasonography in the diagnosis of a rare congenital dermoid cyst of the anterior fontanelle in an infant

Adekanmi

Adenigba

Lawal

et al. 2019

J West Afr Coll Surg

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A dermoid cyst is a benign lesion that may occur in different parts of the body. A dermoid cyst of the subgaleal space over the anterior fontanelle is rather uncommon. We present a case of congenital dermoid cyst of the anterior fontanelle in a 3-month-old male infant, underscoring the value of ultrasonography in the diagnosis and highlighting the classical clinical, sonographic, surgical, and pathological findings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The value of ultrasonography in the diagnosis of a rare congenital dermoid cyst of the anterior fontanelle in an infant

Adekanmi

Adenigba

Lawal

et al. 2019

J West Afr Coll Surg

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“…The treatment of orbital dermoid cysts depends on the location, size and associated anomalies of the cyst. Imaging techniques such as ultrasound, CT and MRI of the dermoid cyst are valuable in the diagnosis and characterization of benign lesions and also to show the actual extent of the injury in the ocular surface [ 31 – 33 ]. Surgical excision can be considered in order to improve the patient’s vision, prevent amblyopia, and eliminate persistent irritation and cosmetic problems.…”

Section: Discussionmentioning

confidence: 99%

Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report

Villalón¹,

Leal

Chávez

et al. 2018

BMC Surg

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BackgroundThe dermoid cyst considered a cystic teratoma derived from embryonic germinal epithelium is a slow-growing benign tumour. Dermoid cysts may occur in the orbital and periorbital region in paediatric patients and are often recurrent. The surgical approach depends upon the site of the lesion, superficial or deep. To our knowledge, this is the first described case of a patient with resection of dermoid cyst treated with human amniotic membrane implant and topical application of 0.02% mitomycin C.Case presentationWe present a case of a 12-year-old male with a tumour in the superotemporal region of the right eye (RE). Symptoms included decreased visual acuity (VA), burning eye, foreign body sensation, and photophobia of the affected eye. A physical examination detected blepharospasm. Ophthalmic examination of his RE, fingers count from a 1–2 m distance, showed no improvement with pinhole. Visual acuity was 20/20 on the left eye (LE). The bio-microscopic examination confirmed the presence of a tumour mass (15 mm × 12 mm) on the surface of the RE, invading the superotemporal sector. The tumour had a lobulated appearance, a shiny and vascularized surface covered by conjunctiva, a pearlescent-pink colour, a medium consistency, was renitent and painless. An ultrasound scan revealed atrophy of the pigmented retinal epithelium with scleral indentation of the RE. A computed tomography (CT) scan revealed a recurrent lesion consistent with an epibulbar dermoid cyst. Surgical excision of the lesion was performed and a human amniotic membrane (HAM) graft and topical 0.02% mitomycin C (MMC) were applied. Histopathological analysis confirmed the diagnosis of recurrent dermoid cyst.ConclusionIn this case report, we describe a case of recurrent epibulbar dermoid cyst treated with complete resection; topical MMC and HAM implant with good clinical outcome of the lesion and implant adhesion. Resection of a cyst of the ocular surface is not recommended when a large epibulbar dermoid tissue needs to be resected and no HAM graft is available.

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“…Macroscopically, cystic lesions appear as saccular, fluid-filled structures encapsulated by a clearly demarcated wall 1 . They are commonly classified according to the cellular origin or etiology 3,4 . In a 2004 review of childhood orbital lesions, Shields and Shields 5 categorized cystic lesions by cellular origin (surface epithelium-derived, teratomatous, neural, secondary, infectious, and noncystic lesions with a cystic component).…”

Section: Introductionmentioning

confidence: 99%

“…1 They are commonly classified according to the cellular origin or etiology. 3,4 In a 2004 review of childhood orbital lesions, Shields and Shields 5 categorized cystic lesions by cellular origin (surface epithelium-derived, teratomatous, neural, secondary, infectious, and noncystic lesions with a cystic component). Another classification system, proposed by Kaufman et al, 6 in 1998, organizes cystic lesions by etiology; that is, congenital, acquired, or secondary cysts arising from adjacent structures.…”

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confidence: 99%

Cystic Lesions of the Orbit

Cameron¹,

Tong²,

Patel³

et al. 2023

International Ophthalmology Clinics

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Orbital cystic lesions encompass an array of congenital and acquired conditions with diverse aetiologies, ranging from benign, asymptomatic cysts to sight-threatening infectious or malignant disease. 1,2 They account for 14% to 21% of all orbital lesions. 2 Macroscopically, cystic lesions appear as saccular, fluid-filled structures encapsulated by a clearly demarcated wall. 1 They are commonly classified according to the cellular origin or etiology. 3,4 In a 2004 review of childhood orbital lesions, Shields and Shields 5 categorized cystic lesions by cellular origin (surface epithelium-derived, teratomatous, neural, secondary, infectious, and noncystic lesions with a cystic component). Another classification system, proposed by Kaufman et al, 6 in 1998, organizes cystic lesions by etiology; that is, congenital, acquired, or secondary cysts arising from adjacent structures. This review will expand upon the latter scheme, employing the following classifications; congenital (epithelial and nonepithelial), vascular, infectious and inflammatory, neoplastic, and miscellaneous. True cysts and cyst-like lesions, that is, those which appear cystic on imaging, will be covered, with a particular focus on the radiologic characteristics seen.Congenital lesions, such as dermoid cysts and orbital teratoma, generally present in infancy or early childhood and are usually benign; those which present later in life are more likely acquired, although lesions such as deep orbital dermoids may present in adulthood. [6][7][8] Clinical features vary depending on the size, depth, and aggressiveness of the underlying lesion. Superficial cysts often present with a painless,

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Rare orbital cystic lesions in children

Cited by 8 publications

References 14 publications

The value of ultrasonography in the diagnosis of a rare congenital dermoid cyst of the anterior fontanelle in an infant

The value of ultrasonography in the diagnosis of a rare congenital dermoid cyst of the anterior fontanelle in an infant

Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report

Cystic Lesions of the Orbit

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