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KMID : 0360220180590020176
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Journal of the Korean Ophthalmological Society
2018 Volume.59 No. 2 p.176 ~ p.180
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A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid
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Park Jun-Min
Kim Sang-Soo
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Abstract
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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.
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KEYWORD
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Eyelid mass, Mucinous adenocarcinoma
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