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Ophthalmol Case Rep 2017 Volume 1 Issue 1
August 21-23, 2017 | Toronto, Canada EYE AND VISION3rd International Conference on
A59 years old Caucasian man was presented at our
hospital with painless slowly growing disfiguring mass
on his left lower eyelid of 1- year duration. On examination, a
Solitary, well defined, firm, mobile nodule measured 12 mm
× 10 mm with brownish & skin colored areas and crusted
surface was identified on the middle third of the left lower
eyelid (Figure 1). The nodule wasn’t tender and didn’t bleed
on touch with normal surrounding skin and no distortion
of the lid margin. Local lymph nodes weren’t enlarged and
there were no other skin lesions elsewhere. The lesion was
thought not to be malignant due to the following: Normal
smooth eyelid contour, normal surrounding skin, no lash
loss, smooth non beaded border, no surface telangiectasia
and no bleeding on touch, so mass resection without
wide safety margin was planned. Excisional biopsy and
histopathological examination were performed. Sections
revealed large expansile masses of squamous epithelial cells
with well-defined borders, connected to the epidermis with
multiple horn cysts and squamous eddies. The resection
margins were free of tumor tissue and no malignancy was
detected (Figure 2). Based on these findings, a diagnosis of
eccrine poroma was made. Follow up was done and no local
recurrence was detected through one year (Figure 3). Eccrine
poromas are fairly common, benign, slow-growing solitary
adnexal tumors originating from the intraepidermal portion
of the eccrine sweat duct. The most common sites are palm
& sole due to density of eccrine glands. Eyelid poroma, as
our case, is extremely rare. To our knowledge, only 4 cases
have been reported previously and our case is supposed to
be the 5th one. Clinically, poromas can be mistaken for basal
or squamous cell carcinoma, hemangioma, cysts or warts.
Definitive treatment is complete surgical excision with clear
margins to avoid local recurrence.
Speaker Biography
Wesam Shams is an assistant lecturer of ophthalmology, 2ndyear fellowship at Tanta
medical school, Egypt.
e:
Rare Lid Mass
Wesam M Sham and Osama E Shalaby
Tanta University, Egypt