A Case of Intratarsal Keratinous Cyst of the Meibomian Gland.

Choi, Kyung Jun; Kwon, Mi Jung; Lee, Min Joung

doi:2015.56.1.109

J Korean Ophthalmol Soc > Volume 56(1); 2015 > Article

Case Report

Journal of the Korean Ophthalmological Society 2015;56(1):109-113.
DOI: https://doi.org/10.3341/jkos.2015.56.1.109 Published online January 15, 2015.

A Case of Intratarsal Keratinous Cyst of the Meibomian Gland.

Kyung Jun Choi, Mi Jung Kwon, Min Joung Lee

¹Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. tweeti2@hanmail.net
²Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

마이봄샘의 눈꺼풀판내 각질낭종 1예

최경준¹⋅권미정²⋅이민정¹

Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine¹, Anyang, Korea
Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine², Anyang, Korea

Abstract

PURPOSE
To report a patient presenting with an intratarsal keratinous cyst of the Meibomian gland in the upper eyelid and a review of the relevant literature. CASE SUMMARY: A 65-year-old male presented with a right upper eyelid mass which started 5 months prior. The patient reported that the mass recurred several weeks prior even after incision and curettage procedure. The mass was 9 x 5 mm in size and located in the center of the right upper eyelid at the level of lid crease, fixed to the tarsus and a whitish elevated focus was observed at the palpebral conjunctival surface. The mass was excised under local anesthesia and originated from the tarsus. The histopathological examinations revealed an intratarsal keratinous cyst composed of stratified squamous epithelium without keratohyalin granules and filled with keratin. The immunohistochemical studies showed positive staining results for cytokeratin 5/6, epithelial membrane antigen, and carcinoembryonic antigen. CONCLUSIONS: Intratarsal keratinous cyst of the Meibomian gland should be considered as a differential diagnosis of a recurrent tarsal mass.

Key Words: Chalazion;Epidermal cyst;Intratarsal keratinous cyst;Meibomian gland;Tarsus