2017
DOI: 10.1097/ruq.0000000000000229
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Sonographic Diagnosis of Periorbital Dermoid Cyst

Abstract: Periorbital dermoid cysts occur mainly in children. Sonography is useful for the noninvasive, nonionizing evaluation of soft tissue lesions in infants and children without requiring sedation or anesthesia. We report the sonographic appearance of 25 periorbital dermoid cysts and identified that all are avascular oval lesions located below the aponeurotic plane. Nonaggressive bone remodeling was present in 52% of the cases. These finding in pediatric periorbital lesions are highly suspicious of a periorbital der… Show more

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Cited by 6 publications
(9 citation statements)
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“…In this case, H&E histologic examination showed a tumor consisting of thin- and thick-walled blood vessels in a background of smooth muscle proliferation. Having numerous blood vessels may pretend other benign vascular tumors such as hemangioma, hemangiopericytoma, hemangioendothelioma, vascular malformation, and other neurovascular hamartomas [ 29 ], but a definite examination could rule out these lesions because of the smooth muscle background. Immunohistochemically markers like SMA and MSA (muscle-specific actin) can be useful in identification of smooth muscle nature of the cellular stroma [ 15 , 30 , 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…In this case, H&E histologic examination showed a tumor consisting of thin- and thick-walled blood vessels in a background of smooth muscle proliferation. Having numerous blood vessels may pretend other benign vascular tumors such as hemangioma, hemangiopericytoma, hemangioendothelioma, vascular malformation, and other neurovascular hamartomas [ 29 ], but a definite examination could rule out these lesions because of the smooth muscle background. Immunohistochemically markers like SMA and MSA (muscle-specific actin) can be useful in identification of smooth muscle nature of the cellular stroma [ 15 , 30 , 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…Dermoid cysts are congenital lesions that contain an array of mature tissues, such as skin and its adnexa (hair, sebaceous lobules, eccrine and apocrine glands). 16 This type of cyst is commonly diagnosed during infancy or early childhood as a discrete, subcutaneous nodule, usually 1-4 cm in diameter. They are often located at periorbital, nasal, submental, and suprasternal areas, along an embryonic fusion plane, because they correspond to ectodermal inclusions during early embryogenesis.…”
Section: Dermoid Cystmentioning
confidence: 99%
“…They are often located at periorbital, nasal, submental, and suprasternal areas, along an embryonic fusion plane, because they correspond to ectodermal inclusions during early embryogenesis. 6,14,16 Even though these cysts are recognized as benign lesions, rare malignancies can arise. 6 Sonographic images typically show an oval or round, well-circumscribed, thin walled, anechoic or hypoechoic lesion with posterior acoustic transmission.…”
Section: Dermoid Cystmentioning
confidence: 99%
“…Sonographically, it appears as a well‐defined, oval‐shaped, anechoic, and avascular lesion, usually located beneath the galea or the periosteum (Figure ). Echogenic foci within the tumor and perilesional blood vessels can be identified . The underlying bone surface can appear excavated or eroded.…”
Section: Developmental Anomaliesmentioning
confidence: 99%
“…Echogenic foci within the tumor and perilesional blood vessels can be identified. 15 The underlying bone surface can appear excavated or eroded. Ultrasound has demonstrated its ability in differentiating dermoid cysts from vascularized entities 16 and may also help detecting connections with the intracranial space.…”
Section: Embryological Remnantsmentioning
confidence: 99%