37-year-old woman with right upper lid lesion of 1 year's duration, located mainly in its medial aspect. 37-year-old woman with right upper lid lesion.

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Presentation transcript:

37-year-old woman with right upper lid lesion of 1 year's duration, located mainly in its medial aspect. 37-year-old woman with right upper lid lesion of 1 year's duration, located mainly in its medial aspect. A, Axial CT scan of the superior aspect of the orbits reveals a cystic lesion of the right upper eyelid, inseparable from the anterior aspect of the globe. Histopathologic findings (see B and C) were consistent with a benign ductal cyst of the accessory lacrimal glands. The cyst probably arose from the glands of Wolfring.B, Low-power view shows a collapsed cyst with patches of chronic inflammatory cells (arrowheads) and a few glands (arrow) in its wall (H and E, original magnification ×30).C, High-power view of the cyst lining shows a double cell layer, confirming the ductal origin of the cyst. Cytoplasmic apical microvillous processes (arrowheads) from many of the luminal cells are noted, consistent with decapitation secretion. Occasional goblet cells are also seen (arrow) (H and E, original magnification ×400). Nabil J. Khoury et al. AJNR Am J Neuroradiol 1999;20:1140-1142 ©1999 by American Society of Neuroradiology