A Case of Eyelid Sebaceoma Mimicking Chalazion.

Lee, Hak Jun; Min, Soo Kee; Lee, Min Joung

doi:2016.57.8.1303

J Korean Ophthalmol Soc > Volume 57(8); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(8):1303-1306.
DOI: https://doi.org/10.3341/jkos.2016.57.8.1303 Published online August 15, 2016.

A Case of Eyelid Sebaceoma Mimicking Chalazion.

Hak Jun Lee, Soo Kee Min, Min Joung Lee

¹Department of Ophthalmology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. minjounglee77@gmail.com
²Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

콩다래끼로 오인된 아래 눈꺼풀 테두리의 피지샘상피종 1예

이학준¹⋅민수기²⋅이민정¹

한림대학교 의과대학 한림대학교성심병원 안과학교실¹, 한림대학교 의과대학 한림대학교성심병원 병리학교실²

Correspondence: Min Joung Lee,
Email: minjounglee77@gmail.com

Received: 19 May 2016 • Revised: 7 June 2016 • Accepted: 15 July 2016

Abstract

PURPOSE
To report a rare case of sebaceoma misdiagnosed as chalazion. CASE SUMMARY: A 42-year-old female presented with a visible mass in her right lower eyelid. An elevated, hard mass was located at the margin of the right lower eyelid, and she had a history of incision and curettage under the clinical impression of chalazion. On eversion of the lower eyelid, the tarsal portion of the mass was visible as a white-yellowish lesion. The mass was excised under local anesthesia. A sebaceoma was diagnosed based on histopathological examinations. Immunohistochemical studies showed positive staining results for mutator L homologue 1 (MLH1), mutator S homologue 2 (MSH2), and mutator S homologue 6 (MSH6), and she had no past medical history or family history of internal malignancy, suggesting a low possibility of Muir-Torre syndrome. CONCLUSIONS: Eyelid sebaceoma should be considered as a differential diagnosis for refractory chalazion.

Key Words: Chalazion;Sebaceoma;Sebaceous epithelioma