Apocrine hidrocystoma with telangienctasia: an atypical finding

Vempuluru, Vijitha S; Kapoor, Anasua Ganguly; Mishra, Dilip Kumar

doi:10.1136/bcr-2019-231572

Cited by 1 publication

(2 citation statements)

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“…13 These lesions are commonly seen in adults of middle age and are known to have a predilection for the medial canthus; thereby commonly seen in the peripunctal region. 14 By growing up to 10 mm in size, they can often times distort the punctal orifice, effectively causing effacement of the punctum and subsequent epiphora, as was seen in the case highlighted in Figure 4, where a smooth, biloculated cystic lesion is seen compressing the lacrimal punctum and the canaliculus. Superficial telangiectasia was also observed in this case, which may be a feature of apocrine hidrocystomas.…”

Section: Discussionmentioning

confidence: 98%

“…Superficial telangiectasia was also observed in this case, which may be a feature of apocrine hidrocystomas. 14 Excision was possible while preserving the patency of the lacrimal system. Keratinizing cyst of the lacrimal punctum is an exceedingly rare tumor of the lacrimal punctum with only 2 such previous cases described in detail in literature.…”

Section: Discussionmentioning

confidence: 99%

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Peripunctal Mass Lesions: Clinicopathological Analysis and Surgical Outcomes—A Multicentric Series

Nair

Mukherjee

Kamal³

et al. 2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: To report the epidemiology, histopathological spectrum, and surgical outcomes of peripunctal mass lesions.Methods: Multicentric retrospective case series involving 6 centers in India. All cases of peripunctal masses with histopathological diagnoses and minimum follow up of 3 months were included. Demographic data, clinical photographs, objective assessments of clinical improvement were assessed before and after treatment.Results: A total of 50 patients were included. The mean age was 46.4 years (range: 12-76 years). The mean duration of complaints was 27.4 months (range: 1-120 months) and mean follow-up period after surgery was 15.8 months (range: 3-120 months). The most common presenting complaints were a mass lesion/cosmetic concern (82%), followed by epiphora (48%) and foreign body sensation (16%). The most common lesion was melanocytic nevus (19/50; 38%), followed by squamous papilloma (8/50; 16%), hidrocystoma (7/50; 14%), and epidermoid cyst (7/50; 14%). Three cases of malignant tumors were diagnosed: 2 cases of sebaceous gland carcinoma and 1 case of squamous cell carcinoma. In all, 21 of 50 (42%) cases underwent excision with the placement of a Mini-Monoka stent, whereas the remaining 29 cases underwent only excision. At final follow up, a healed punctal opening was visible in 46 of 50 (92%) of the cases; 2 (4%) cases had a slit-like punctum and in 1 case (2%), a stenosed punctum was visible. However, only 1 case (2%) reported epiphora at follow up.Conclusions: Peripunctal masses are largely benign and present most commonly on the lower eyelid. Melanocytic nevus is the most common peripunctal mass lesion. In the series, stent placement did not play a significant role in the functional outcome.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%