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  • Title: Periorbital lesions misdiagnosed as dermoid cysts.
    Author: Al-Muhaylib A, Alkatan HM, Al-Faky YH, Alsuhaibani AH.
    Journal: J AAPOS; 2017 Dec; 21(6):509-511. PubMed ID: 29107796.
    Abstract:
    Several periorbital lesions can be clinically misdiagnosed as dermoid cyst. We retrospectively reviewed the histopathological findings for 97 biopsied periorbital lesions with a clinical diagnosis of dermoid cyst from January 2006 to July 2016 at a single center and identified 5 cases that were eventually found to have been misdiagnosed. The main presenting symptom was a long-standing mobile painless mass with intact overlying skin below the medial aspect of the brow in 4 patients and below the center of the brow in 1 patient. The tissue diagnoses included vascular lesions (hemangiomas and cavernous venous malformation) in 4 patients and pilomatrixoma in 1 patient. The agreement between the clinical and pathological diagnosis of a periocular dermoid cyst in our series was 94.8%.
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