Eyelid Mass as Initial Presentation of Breast Cancer: A Case Report.

Lee, Youlim; Yang, Hee jung; Paik, Ji sun; Yang, Suk Woo

doi:2017.58.5.591

J Korean Ophthalmol Soc > Volume 58(5); 2017 > Article

Case Report

Journal of the Korean Ophthalmological Society 2017;58(5):591-594.
DOI: https://doi.org/10.3341/jkos.2017.58.5.591 Published online May 15, 2017.

Eyelid Mass as Initial Presentation of Breast Cancer: A Case Report.

Youlim Lee, Hee jung Yang, Ji sun Paik, Suk Woo Yang

Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net

전이 눈꺼풀 병변으로 진단된 원발유방암 1예

이유림⋅양희정⋅백지선⋅양석우

가톨릭대학교 의과대학 서울성모병원 안과 및 시과학교실

Correspondence: Suk-Woo Yang, MD, PhD
Email: yswoph@hanmail.net

Received: 22 December 2016 • Revised: 9 March 2017 • Accepted: 19 April 2017

Abstract

PURPOSE
We report a case in which eyelid mass was the initial presentation of breast cancer. The diagnosis of breast cancer was made after lid biopsy. CASE SUMMARY: A 41-year-old female patient presented with a painful mass on the left lower lid after 1 month. There was a pinkish mass in the lateral portion of the tarsal conjunctiva, and computed tomography revealed a mass with an irregular margin on the lower lid connected to the left lacrimal gland. Biopsy was performed at the tarsal conjunctiva of the left eye, and histopathologic examination was suggestive of malignant epithelial cell neoplasm, especially metastatic carcinoma in the breast. The patient was diagnosed as having invasive ductal cancer, for which she is currently receiving chemotherapy. CONCLUSIONS: Metastases to the eyelid are very rare, accounting for less than 1% of all malignant eyelid lesions. We report a patient who presented with an eyelid mass as the initial presentation of breast cancer, which was diagnosed with metastatic breast cancer.

Key Words: Breast cancer;Eyelid mass;Metastatic cancer