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KMID : 0360220160570081303
Journal of the Korean Ophthalmological Society
2016 Volume.57 No. 8 p.1303 ~ p.1306
A Case of Eyelid Sebaceoma Mimicking Chalazion
Lee Hak-Jun

Min Soo-Kee
Lee Min-Joung
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.
KEYWORD
Chalazion, Sebaceoma, Sebaceous epithelioma
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