A Case of Primary Lipogranuloma in Eyelid.
10.3341/jkos.2008.49.12.2001
- Author:
Sang Hee DOH
1
;
Sang Kyu LEE
;
Suk Woo YANG
Author Information
1. Department of Ophthalmology, St. Paul's Hospital, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Eyelid;
Primary lipogranuloma;
Triamcinolone injection
- MeSH:
Adult;
Biopsy;
Eyelids;
Fibrosis;
Humans;
Korea;
Macrophages;
Triamcinolone
- From:Journal of the Korean Ophthalmological Society
2008;49(12):2001-2005
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We report one case of primary giant lipogranuloma in the whole upper lid. CASE SUMMARY: A 37-year-old man with a left whole upper lid mass that developed 3 months prior to admission visited our hospital. Biopsy was performed, and lipogranuloma was diagnosed. We attempted to remove the lesion by non-surgical local triamcinolone injection with no effect, so we finally removed the lipogranuloma by surgical resection. In the postoperative histological findings, the upper lid mass showed variously sized multiple cystic spaces surrounded by macrophage infiltration and fibrosis consistent with lipogranuloma. CONCLUSIONS: We report the first case of primary giant lipogranuloma in the upper eyelid in Korea. We considered repeated intralesional triamcinolone injections to be a better treatment method than surgical resection. Final surgical resection might be more effective, however, after an intralesional steroid injection to reduce the size of the lipogranuloma.
