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KMID : 0360220110520091094
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Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 9 p.1094 ~ p.1098
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A Case of Nodular Hidradenoma of Upper Eyelid Presenting with Ptosis
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Lee Chang-Kyu
Kim Sang-Soo
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Abstract
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Purpose:To report the presentation and management of an atypical and advanced case of nodular hidradenoma of the eyelid with ptosis.
Case summary:A 64-year-old woman who presented with a palpable growing nodular mass and ptosis was tested with marginal reflex distance 1 as right eye 1 mm, left eye -1.5 mm and levator function test as 12 mm and 10 mm, respectively during a hospital visit. The patient was tentatively diagnosed with eyelid adnexal tumor with mechanical ptosis and was managed by surgical excision of the lesion. Histology confirmed hidradenoma.
Conclusions:Hidradenomas are benign adnexal tumors originating from the eccrine gland and rarely detectable in the eyelid. However, rudimentary glandular structures can be a possible tumor source. Nodular hidradenoma should be considered in the differential diagnosis of adnexal masses and such lesions may cause significant functional and cosmetic morbidity despite their histologically benign nature.
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KEYWORD
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Benign adnexal mass, Nodular hidradenoma, Ptosis, Upper eyelid
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