A Case of Chondroid Syringoma Involving the Eyelid Margin

Seong Joon Ahn; Namju Kim; Ho Kyung Choung; Sang In Khwarg

doi:10.3341/jkos.2011.52.7.859

Journal List > J Korean Ophthalmol Soc > v.52(7) > 1009086

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Ahn, Kim, Choung, and Khwarg: A Case of Chondroid Syringoma Involving the Eyelid Margin

Original Article

J Korean Ophthalmol Soc 2011;52(7):859-862.

Published online: 7 September 2011

DOI: https://doi.org/10.3341/jkos.2011.52.7.859

A Case of Chondroid Syringoma Involving the Eyelid Margin

Seong Joon Ahn, MD¹, Namju Kim, MD^1,², Ho Kyung Choung, MD^1,³, Sang In Khwarg, MD¹

¹Department of Ophthalmology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea

²Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea

³Department of Ophthalmology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea

Address reprint requests to Namju Kim, MD Department of Ophthalmology, Seoul National University Bundang Hospital #300 Gumi-dong, Bundang-gu, Seongnam 463-707, Korea Tel: 82-31-787-7376, Fax: 82-31-787-4057, E-mail: resourceful@hanmail.net

Received 16 November 2010 Revised 5 January 2011 Accepted 27 April 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of chondroid syringoma that involved the eyelid margin, was accompanied by cilia loss, and required differential diagnosis with other malignant eyelid masses.

Case summary

A 46-year-old woman presented with a recurrent mass in the right lower eyelid margin, which was observed 10 years earlier, where incision and curettage had already been performed twice. The mass was neither tender nor ulcerated, was brighter in color than the neighboring skin, and had a smooth surface with cilia loss. The pathologic findings obtained from an incisional biopsy were compatible with a dermoid cyst. Full-thickness excision of the eyelid mass and direct closure were subsequently performed. The pathologic diagnosis after excisional biopsy was chondroid syringoma because cystic structures in the chondroid stroma were observed.

Keywords: Chondroid syringoma, Cilia loss, Eyelid mass

References

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Figure 1.

(A) Photograph of the patient demonstrating a 7×7-mm-sized mass in the margin of the right lower eyelid. (B) The mass was pinkish and smooth-surfaced, and the cilia on its surface were lost. (C) Gross photograph of excised eyelid mass. Pentagon-shaped tissue of about 8-mm width, including the eyelid mass and adjacent normal tissue, was excised. (D) Facial photograph taken at postoperative 2 weeks showing good cosmetic results.

Figure 2.

(A) Nests and sheets of epithelioid cells dispersed in a collagenous and myxoid stroma (hematoxylin-eosin, ×40). (B) Cuboidal epithelial cells, ductal structures (arrow), and multiple cysts are noted (hematoxylin-eosin, ×200).

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