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Patología Revista Latinoamericana

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2013, Number 1

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Patol Rev Latinoam 2013; 51 (1)

Krause Dacriops (accessory lacrimal gland ductal cyst). A case report and literature review

Salazar-Morales MF, Estrada-Hernández MR, López-Oliver R, Rodríguez-Reyes A
Full text How to cite this article

Language: Spanish
References: 13
Page: 29-33
PDF size: 326.84 Kb.


Key words:

dacryops, lacrimal duct cyst, Wolfring gland, Krause gland, apocrine apical secretion.

ABSTRACT

A 22 year old man presented with a left orbital lesion of insidious growth during 10 months and comfortless sensation. Pathologic Anatomy Division received an ovoid lesion of 4 × 2.5 × 2 cm which had multiple cavities of smooth wall at cut. Histologically the cysts were covered by cubic epithelium disposed in a single or double layer with a distinctive apocrine apical secretion. Chronic inflammation foci were identified in the wall.
Dacryops, also known as lacrimal duct cyst, is a rare entity with a two-step pathogenesis: the development of an osmotic gradient and an obstruction, both of them a consequence of an inflammatory process. The lesion can appear at the site of major lacrimal gland or at the accessory glands of Wolfring or Krause. Diagnosis is based on anatomical and histological findings.


REFERENCES

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  2. Khoury NJ, Haddad MC, Tawil AN, et.al. Ductal cyst of the accessory lagrimal glands: CT findings. Am J Neuroradiol 1999;20:1140-1142.

  3. Hassany S. Wolfring dacriops. Saudi Journal of Ophtalmology 2004;18:121-123.

  4. Aparato lagrimal. Disponible en: http://elsentidodelavision. blogspot.com/2008/10/aparato-lagrimal.html

  5. Gland. Disponible en: http://medical-dictionary.thefreedictionary. com/Wolfring+g%27s

  6. Kyung IW, Yoon-Duck K. Cyst of accesory lagrimary gland. Korean J Ophtalmol 1995;9:117-121.

  7. Tsiouris AJ, Deshmukh M, Sanelli PC, et.al. Bilateral dacriops: correlation of clinical, radiologic and histopathologic features. AJR 2005;184:321-323.

  8. Klintworth GK, Cumming TJ. Lacrimal drainage apparatus. En: Mills SE Histology for pathologists. 3rd edition 2007 Lippincott Williams & Wilkins. Chapter 13 Normal Eye and Ocular Anexa. pp. 366-370.

  9. Font RL, Croxatto JO, Rao NA. Lacrimal gland cysts. En: Font RL, Croxatto JO, Rao NA. AFIP Atlas of tumor pathology. Tumors of the eye and ocular adnexa. Fourth series fascicle five 2006 ARP Press. Chapter 6 Tumors of the lacrimal gland. p. 241.

  10. Jakobiec FA, Bhat P, Kropp TM. Palpebro-orbital apocrine cystadenoma: immunohistochemical verification of a unique variant with a critical differential diagnosis. Ophthal Plast Reconstr Surg 2010;26(4):245-9.

  11. Brooks GF, Butel JS, Morse SA. Chlamydia trachomatis ocular, genital & respiratory infections. En: Brooks GF, Butel JS, Morse SA. Jawetz, Melnick & Adelberg´s Medical Microbiology. 23rd edition 2004 McGraw-Hill. Chapter 28 Chlamyidiae. pp 360- 361.

  12. Woo KI, Kim YD. Cyst of accessory lacrimal gland. Korean J Ophthalmol 1995;9(2):117-21.

  13. Weatherhead RG. Wolfring dacryops. Ophthalmology 1992;99(10):1575-81.




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Patol Rev Latinoam. 2013;51