J Korean Ophthalmol Soc.  2011 Jul;52(7):859-862. 10.3341/jkos.2011.52.7.859.

A Case of Chondroid Syringoma Involving the Eyelid Margin

• Ahn SJ
• Kim N
• Choung HK
• Khwarg SI

• KMID: 2214712
• DOI: http://doi.org/10.3341/jkos.2011.52.7.859

Abstract

PURPOSE
To report a case of chondroid syringoma that involved the eyelid margin, was accompanied by cilia loss, and required differential diagnosis with other malignant eyelid masses.
CASE SUMMARY
A 46-year-old woman presented with a recurrent mass in the right lower eyelid margin, which was observed 10 years earlier, where incision and curettage had already been performed twice. The mass was neither tender nor ulcerated, was brighter in color than the neighboring skin, and had a smooth surface with cilia loss. The pathologic findings obtained from an incisional biopsy were compatible with a dermoid cyst. Full-thickness excision of the eyelid mass and direct closure were subsequently performed. The pathologic diagnosis after excisional biopsy was chondroid syringoma because cystic structures in the chondroid stroma were observed.

Keyword

Chondroid syringoma; Cilia loss; Eyelid mass

MeSH Terms

Adenoma, Pleomorphic
Biopsy
Cilia
Curettage
Dermoid Cyst
Diagnosis, Differential
Eyelids
Female
Humans
Middle Aged
Skin
Ulcer

Figure

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  Figure 1. (A) Photograph of the patient demonstrating a 7×7-mm-sized mass in the margin of the right lower eyelid. (B) The mass was pinkish and smooth-surfaced, and the cilia on its surface were lost. (C) Gross photograph of excised eyelid mass. Pentagon-shaped tissue of about 8-mm width, including the eyelid mass and adjacent normal tissue, was excised. (D) Facial photograph taken at postoperative 2 weeks showing good cosmetic results.

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  Figure 2. (A) Nests and sheets of epithelioid cells dispersed in a collagenous and myxoid stroma (hematoxylin-eosin, ×40). (B) Cuboidal epithelial cells, ductal structures (arrow), and multiple cysts are noted (hematoxylin-eosin, ×200).

Reference

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