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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Orbital giant conjunctival epithelial primary cyst
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Vol. 88. Issue 4.
Pages 157-159 (April 2013)
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Vol. 88. Issue 4.
Pages 157-159 (April 2013)
Short communication
Orbital giant conjunctival epithelial primary cyst
Quiste conjuntival epitelial gigante primario orbitario
Visits
2376
F.J. Guijarro-Oria, E. Mencía-Gutiérrez
Corresponding author
, E. Gutiérrez-Díaz, E. López-Tizón
Servicio de Oftalmología, Hospital 12 de Octubre, Universidad Complutense, Madrid, Spain
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Abstract
Case report

A 15-year-old male, with no previous traumatic o surgical ocular injury, presented with a right eye proptosis and inferior displacement which began 4 months earlier. Ultrasound and CT showed a cystic lesion of 3.5cm×2cm in the superior orbit. Surgical resection was performed by transconjunctival orbitotomy. The histopathology examination showed a cyst with nonkeratinized epithelium, and without goblet cells. After 10 years of follow-up, there have been no new lesions.

Discussion

Conjunctival primary orbital cysts are very uncommon. They are usually of small-moderate size; giant cysts are exceptional. Diagnosis by imaging is essential to establish the differential diagnosis and surgical treatment.

Keywords:
Cyst
Conjunctival epithelial
Primary
Giant
Orbit
Resumen
Caso clínico

Varón de 15 años de edad, sin antecedente traumático o quirúrgico, que presenta proptosis con desplazamiento inferior del globo ocular derecho de cuatro meses de evolución. La ecografia y la TAC muestran una lesión quística de 3,5 × 2cm. Se reseca mediante orbitotomía transconjuntival. La histopatología muestra un quiste con un epitelio no queratinizado sin células caliciformes. Después de 10 años de evolución no ha recidivado.

Discusión

Los quistes epiteliales conjuntivales primarios son muy infrecuentes. Suelen ser de pequeño-moderado tamaño; los gigantes son excepcionales. El diagnóstico por imagen es fundamental para el diagnóstico diferencial y el tratamiento quirúrgico.

Palabras clave:
Quiste
Epitelio conjuntival
Primario
Órbita
Gigante

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