alexa Atypical Dermoid Presentations-Histopathlogical Diagnos
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
Open Access

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Case Report

Atypical Dermoid Presentations-Histopathlogical Diagnosis and Surgical Management

Rizvi Syed AR*, Thakur Anchal, Naim Mohd and Akhtar Khafil

Institute of Ophthalmology, Jawaharlal Nehru Medical College, AMU, India

*Corresponding Author:
Dr. S Ali Raza Rizvi
Ophthalmic Plastic Surgery and Ocular Oncology Services
Institute of Ophthalmology, Jawaharlal Nehru Medical College
AMU, Aligarh, UP 202002, India
Tel: 05712703203(R), 09837015693 (M)
E-mail: [email protected]

Received Date: February 16, 2015; Accepted Date: March 18, 2015; Published Date: March 21, 2015

Citation: Syed ARR, Anchal T, Mohd N, Khafil A (2015) Atypical Dermoid Presentations-Histopathlogical Diagnosis and Surgical Management. J Clin Exp Dermatol Res 6:272. doi: 10.4172/2155-9554.100027

Copyright: © 2015 Syed ARR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



The commonest cysts of the orbit are dermoid and epidermoid which are lined by keratinizing squamous epithelium. Dermoid typically present during childhood, but can present at any age. It has been observed that those presenting later in life are often deeper in origin and more challenging in terms of management. Superficial dermoid most often present as an asymptomatic, mobile mass. Deeper tumors may cause diplopia and proptosis. They typically occur superotemporally in the orbit. Other orbital sites are much less common. Four cases with atypical dermoid presentation that consulted a tertiary eye care center were reported. The clinical and radiological features, surgical approach and histological findings are described. Out of the four cases, three were confined to the orbit while one presented as a conjunctival mass. None of them showed any bony invasion. In the orbit, one mass was found over the brow over the frontal bone while the other occurred inferomedially and medially, all unusual sites for dermoid. Excision biopsy of these lesions confirmed dermoid cyst on histopathology. These atypical dermoids although rare do occur.


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