A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid. |
Jun Min Park, Sang Soo Kim |
Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. eyerheu@hanafos.com |
하안검에 발생한 원발점액샘암종 1예 |
박준민⋅김상수 |
메리놀병원 안과 |
Correspondence:
Sang Soo Kim, Email: eyerheu@hanafos.com |
Received: 9 November 2017 • Revised: 12 December 2017 • Accepted: 20 January 2018 |
Abstract |
PURPOSE To report a rare case of a recurrent painless mass of the right lower eyelid, which was histologically diagnosed as a mucinous adenocarcinoma. CASE SUMMARY: A 59-year-old male had a painless nodule on the right lower eyelid for 2 years. He had a history of five laser treatments done by a dermatologist prior to the initial presentation. Surgical shave biopsy was performed and a histopathological examination revealed a mucinous adenocarcinoma. We subsequently performed a pentagonal excision of the lower eyelid with assisted frozen biopsy until no tumor cells were seen at the margin. A postoperative whole-body positron emission tomography scan, chest computerized tomography, gastrointestinal endoscopy, and colonoscopy excluded systemic metastases. No recurrence has been observed for 18 months after the surgery. CONCLUSIONS: Primary mucinous adenocarcinoma is a rare disorder of the eyelid. Because it has various morphologies, and the final diagnosis can only be made by histopathological examination. If there is a recurrent mass at the eyelid margin, adenocarcinoma should be considered as the differential diagnosis. A complete surgical excision is recommended to prevent local recurrence. |
Key Words:
Eyelid mass;Mucinous adenocarcinoma |
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