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An Unusual Presentation of a Dermoid Cyst Mimicking a Chalazion
Insights
A dermoid cyst on the tarsus, a rare eyelid growth, was diagnosed in a 6-year-old boy. Surgical removal and histopathology confirmed the cyst
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Dermatology
Background:
- Eyelid swelling in children can have various causes.
- Dermoid cysts are congenital tumors that can occur in various locations, including the eyelid.
Observation:
- A 6-year-old boy presented with a progressively increasing left upper eyelid swelling since birth.
- The swelling was surgically excised and found to be attached to the tarsus.
Findings:
- Histopathological examination revealed a cyst lined by stratified squamous epithelium.
- The presence of adnexal structures in the subepithelium confirmed the diagnosis of a tarsal dermoid cyst.
Implications:
- This case highlights the importance of considering dermoid cysts in the differential diagnosis of pediatric eyelid masses.
- Early diagnosis and surgical management are crucial for favorable outcomes in pediatric ophthalmology.
Abstract:
The authors report the case of a 6-year-old boy who presented to their outpatient department with complaints of progressively increasing swelling on the left upper eyelid since birth. The swelling was excised and was found to be firmly attached to the tarsus. Histopatho-logical examination reported a cyst lined by stratified squamous epithelium with presence of adnexal structures in the subepithelium. Therefore, the diagnosis of tarsal dermoid cyst was made. [J Pediatr Ophthalmol Strabismus. 2020;57:e41-e42.].
