J Korean Ophthalmol Soc.  2018 Apr;59(4):376-378. 10.3341/jkos.2018.59.4.376.

A Case of Eyelid Desmoplastic Trichilemmoma

• Lee K
• Chi M

• KMID: 2409687
• DOI: http://doi.org/10.3341/jkos.2018.59.4.376

Abstract

PURPOSE
Desmoplastic trichilemmoma is a rare variant of trichilemmoma first described in 1990. Desmoplastic trichilemmoma on the eyelid has not been previously reported in Korea. We report our experience with a case of desmoplastic trichilemmoma of the eyelid.
CASE SUMMARY
A 72-year-old male patient presented with a round mass on the upper eyelid, which was noticed 1 year prior and caused irritation and itching. Excisional biopsy of the mass was performed. Histopathological examination revealed findings suggestive of a desmoplastic trichilemmoma. There was no local recurrence during the 2-year follow-up.
CONCLUSIONS
Desmoplastic trichilemmoma should be considered when determining the type of eyelid mass.

Keyword

Eyelid; Desmoplastic trichilemmoma; Subcutaneous tubercle

MeSH Terms

Aged
Biopsy
Eyelids*
Follow-Up Studies
Humans
Korea
Male
Pruritus
Recurrence

Figure

• 

  Figure 1. Left upper lid mass at the initial presentation. Well-circumscribed, protruded mass from temporal eyelid margin is shown.

• 

  Figure 2. Histopathologic findings of the mass. (A) A lobular, well circumscribed lesion that is largely composed of clear epithelial cell and rests on thicken basement membrane is shown (hematoxylin and eosin [H&E] stain, × 40). (B) High power field of the desmoplastic area. Narrow and irregular cords of epithelial cells in the pale hypocellular stroma are shown (H&E stain, x400).

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