Giant Orbital Hydrocystoma in Children: Case Series and Review of the Literature

Orbit. 2015;34(5):292-6. doi: 10.3109/01676830.2015.1078373. Epub 2015 Aug 26.

Abstract

Objective: To describe the clinical features, ancillary diagnostic studies, and treatment outcomes in a cohort of pediatric patients with giant orbital hydrocystomas.

Design: Retrospective case series.

Participants: Pediatric patients with giant orbital hydrocystomas treated in the practice of one surgeon (PDL).

Methods: A retrospective review of the clinical charts of pediatric patients with orbital hydrocystoma was performed and diagnostic information collected. Results were reviewed and compared with reported clinical data in the literature.

Main outcome measures: Clinical presentation and histopathological findings of pediatric orbital hydrocystomas.

Results: Three pediatric cases of giant orbital hydrocystoma were encountered, each with an unusual feature, including deep orbital location, occurrence following trauma, and eccrine pathology.

Conclusion: Giant orbital hydrocystomas may present in the pediatric population. Ophthalmologists should be cognizant of this entity when evaluating a child with a large, cystic orbital mass.

Keywords: Orbital hydrocystoma; pediatric orbital tumor; sudoriferous cyst.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Child
  • Female
  • Hidrocystoma / diagnostic imaging
  • Hidrocystoma / pathology*
  • Hidrocystoma / surgery
  • Humans
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Ophthalmologic Surgical Procedures
  • Orbital Neoplasms / diagnostic imaging
  • Orbital Neoplasms / pathology*
  • Orbital Neoplasms / surgery
  • Retrospective Studies
  • Sweat Gland Neoplasms / diagnostic imaging
  • Sweat Gland Neoplasms / pathology*
  • Sweat Gland Neoplasms / surgery
  • Tomography, X-Ray Computed