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Intratarsal Keratinous Cyst Clinically Misdiagnosed as a Chalazion.
Cunha, John Lennon Silva; Andrade, Clenia E S; da Cunha Filho, Fernando A P; da Paz, Alexandre R; Gordón-Núñez, Manuel A; Alves, Pollianna M; Nonaka, Cassiano F W.
Afiliação
  • Cunha JLS; Postgraduate Program in Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande 58429-600, PB, Brazil.
  • Andrade CES; Residency Program in Oral and Maxillofacial Surgery, School of Public Health of Paraíba, João Pessoa 58040-440, PB, Brazil.
  • da Cunha Filho FAP; Residency Program in Oral and Maxillofacial Surgery, School of Public Health of Paraíba, João Pessoa 58040-440, PB, Brazil.
  • da Paz AR; Department of Physiology and Pathology, Federal University of Paraíba (UFPB), João Pessoa 58051-900, PB, Brazil.
  • Gordón-Núñez MA; Postgraduate Program in Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande 58429-600, PB, Brazil.
  • Alves PM; Postgraduate Program in Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande 58429-600, PB, Brazil.
  • Nonaka CFW; Postgraduate Program in Dentistry, Department of Dentistry, State University of Paraíba (UEPB), Campina Grande 58429-600, PB, Brazil.
Dermatopathology (Basel) ; 11(2): 142-146, 2024 Apr 19.
Article em En | MEDLINE | ID: mdl-38651459
ABSTRACT
The intratarsal keratinous cyst (IKC) is a recently described entity, often clinically misdiagnosed as a chalazion. We report a case of a 61-year-old male patient with a chief complaint of a small lesion on the upper eyelid that evolved over six months. On physical examination, an asymptomatic, firm nodule was identified on the left upper eyelid. The patient reported no history of trauma. A provisional diagnosis of chalazion was established, and an excisional biopsy was performed. Histopathologically, the lesion was lined with a stratified squamous epithelium, with a corrugated epithelial surface showing abrupt keratinization without keratohyalin granules, and compact keratinous-appearing material in the cystic lumen. The diagnosis was IKC. No signs of recurrence were observed after one year of follow-up. It is essential to accurately diagnose IKC and distinguish it from chalazion and epidermal inclusion cysts, because IKC requires complete surgical excision and can exhibit multiple recurrences if not properly removed.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Dermatopathology (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Dermatopathology (Basel) Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça