A Case of Eyelid Desmoplastic Trichilemmoma

Kiwoong Lee; Mijung Chi

doi:10.3341/jkos.2018.59.4.376

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Lee and Chi: A Case of Eyelid Desmoplastic Trichilemmoma

Case Report

J Korean Ophthalmol Soc 2018;59(4):376-378.

Published online: 7 September 2018

DOI: https://doi.org/10.3341/jkos.2018.59.4.376

A Case of Eyelid Desmoplastic Trichilemmoma

Kiwoong Lee, MD, Mijung Chi, MD, PhD

Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea

Address reprint requests to Mijung Chi, MD, PhD Department of Ophthalmology, Gachon University Gil Medical Center, #21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 21565, Korea Tel: 82-1577-2299, Fax: 82-32-467-9302, E-mail: cmj@gilhospital.com

Received 16 November 2017 Revised 9 January 2018 Accepted 22 March 2018

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

Desmoplastic trichilemmoma is a rare variant of trichilemmoma first described in 1990. Desmoplastic trichilemmoma on the eyelid has not been previously reported in Korea. We report our experience with a case of desmoplastic trichilemmoma of the eyelid.

Case summary

A 72-year-old male patient presented with a round mass on the upper eyelid, which was noticed 1 year prior and caused irritation and itching. Excisional biopsy of the mass was performed. Histopathological examination revealed findings suggestive of a desmoplastic trichilemmoma. There was no local recurrence during the 2-year follow-up.

Conclusions

Desmoplastic trichilemmoma should be considered when determining the type of eyelid mass.

Keywords: Eyelid, Desmoplastic trichilemmoma, Subcutaneous tubercle

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Figure 1.

Left upper lid mass at the initial presentation. Well-circumscribed, protruded mass from temporal eyelid margin is shown.

Figure 2.

Histopathologic findings of the mass. (A) A lobular, well circumscribed lesion that is largely composed of clear epithelial cell and rests on thicken basement membrane is shown (hematoxylin and eosin [H&E] stain, × 40). (B) High power field of the desmoplastic area. Narrow and irregular cords of epithelial cells in the pale hypocellular stroma are shown (H&E stain, x400).

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