A grey keratinous tarsal cyst with Gram+ cocci

Uusitalo, Marita; Tynninen, Olli; Kivelä, Tero

doi:10.1111/aos.12765

Cited by 1 publication

(4 citation statements)

References 6 publications

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“…Quantitative synthesis of pre-selected clinical characteristics of the 68 cases is shown in Table 3. Twelve case reports 1,2,4–13 and 6 case series were included. 3,14–18 The largest series outlined 15 cases of TEC.…”

Section: Resultsmentioning

confidence: 99%

“…9 Two cases of concurrent infection associated with the TEC were reported; 1 patient had methicillin-resistant staph aureus (MRSA) 10 and the other gram-positive cocci not further specified. 9 Both were treated with topical and oral antibiotics without further infectious complications. Final diagnosis in 5 cases was EIC of the tarsus (retrospectively, more likely to be TEC based on pathologic findings) 2,6,7 ; the remaining 63 cases were all diagnosed as TEC based on histopathological analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The majority had at least 1 procedure before final diagnosis of TEC (Table 2). There were 2 cases of suspected conjunctival melanoma 3,9 and 1 case of suspected intratarsal melanoma. 3 In 1 case, conjunctival melanoma was suspected due to the presence of a pigmented lesion and an oncologic history in the patient.…”

Section: Resultsmentioning

confidence: 99%

“…3 In 1 case, conjunctival melanoma was suspected due to the presence of a pigmented lesion and an oncologic history in the patient. 9 Two cases of concurrent infection associated with the TEC were reported; 1 patient had methicillin-resistant staph aureus (MRSA) 10 and the other gram-positive cocci not further specified. 9 Both were treated with topical and oral antibiotics without further infectious complications.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Tarsal Epithelial Cysts: Prevalence, Case Series, and Synthesis of Existing Literature

Ahmad

Chen

Chang

et al. 2020

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: Tarsal epithelial cysts (TECs) are squamous epithelial-lined lesions of the eyelid that are often mistaken for chalazia or epidermal inclusion cysts. They remain poorly described in the literature. This study is designed to characterize the prevalence and clinical features of TEC. Methods: We conducted a single-center retrospective review of adult patients with a diagnosis of eyelid neoplasm, eyelid cyst, hordeolum, stye, or chalazion between January 1, 2011 and July 1, 2017. Among this cohort, we identified patients with a histopathologic diagnosis of TEC. We also conducted a PubMed literature review and synthesis of existing clinical data of patients reported to have TEC, noting common clinical and histopathological features. Results: Of 7,516 patients, we identified 6 patients with a histopathological diagnosis of TEC, amounting to a prevalence of 0.08% amongst patients with eyelid lesions. Average age was 49.7 years (range 18–76 years), with a 1:1 male to female ratio. The most common presenting symptom was a painless eyelid mass, and the majority (66.6%) had a preoperative diagnosis of chalazion. All but 1 patient had surgical excision from the posterior approach and there was 1 recurrence in the follow-up period. On review of the literature, we identified 68 prior cases of TEC from 18 clinical studies, with clinical features mirroring our case series. Conclusions: TEC has stereotypical clinical and histologic features that distinguish it from other tarsal lesions. Our review identified TEC as a relatively rare cause of eyelid lesions.

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