A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid
10.3341/jkos.2018.59.2.176
- Author:
Jun Min PARK
1
;
Sang Soo KIM
Author Information
1. Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. eyerheu@hanafos.com
- Publication Type:Case Report
- Keywords:
Eyelid mass;
Mucinous adenocarcinoma
- MeSH:
Adenocarcinoma;
Adenocarcinoma, Mucinous;
Biopsy;
Colonoscopy;
Diagnosis;
Diagnosis, Differential;
Endoscopy, Gastrointestinal;
Eyelids;
Humans;
Male;
Middle Aged;
Mucins;
Neoplasm Metastasis;
Positron-Emission Tomography;
Recurrence;
Thorax
- From:Journal of the Korean Ophthalmological Society
2018;59(2):176-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
