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Lee, Han, and Chang: Osteoma Cutis on Eyelid
Case Report

Journal of the Korean Ophthalmological Society 2019; 60(12): 1290-1294.

Published online: 17 December 2019

DOI: https://doi.org/10.3341/jkos.2019.60.12.1290

Osteoma Cutis on Eyelid

Sang Hyeok Lee, MD1, Kang Min Han, MD, PhD2, Minwook Chang, MD, PhD1

1Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea.

2Department of Pathology, Dongguk University Ilsan Hospital, Goyang, Korea.

Address reprint requests to Minwook Chang, MD, PhD. Department of Ophthalmology, Dongguk University Ilsan Hospital, #27 Dongguk-ro, Ilsandong-gu, Goyang 10326, Korea. Tel: 82-31-961-7396, Fax: 82-31-961-7977, mdjacob@naver.com

Received 2 August 2019       Revised 27 August 2019       Accepted 6 December 2019

©2019 The Korean Ophthalmological Society

The Korean Ophthalmological Society

(open-access):

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 present the first report describing lesions of osteoma cutis on the upper eyelid and medial canthus.

Case summary

A 4-year-old female complained of a right upper eyelid mass. The examination showed a well-delineated, mild bluish-colored, hard mass over the upper eyelid and the medial canthus measuring 10 × 10 mm and 2 × 2 mm. During the cutaneous examination, her forearm, left shin, right dorsum of the foot, neck, and abdominal wall also showed well-delineated, mild bluish-colored, immobile hard masses, similar to the upper eyelid mass. A right upper eyelid and medial canthus mass excision was performed and a biopsy specimen was collected. Hematoxyline and eosin staining showed a mature bone in the dermis with spicules of bone and osteoblasts. She was finally diagnosed with osteoma cutis on the upper eyelid and the medial canthus.

Conclusions

Osteoma cutis is a rare, benign skin disorder characterized by bone formation in the skin. Albright hereditary osteodystrophy, which causes a metabolic disorder, should also be considered to prevent complications.

Keywords: Eyelid tumor, Osseous heteroplasia and progressive, Osteoma cutis

Figures and Tables

Figure 1

Anterior segment photographs of the mass and clinical photograph of patient at inital presentation. (A) There was well marginated, mild bluish-colored, hard mass was seen on right eyelid (arrow) and medial canthus (arrowhead). (B) The child showed rounded chubby face and flat nose. Informed consent was obtained from the study participant.

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Figure 2

Orbit computed tomography scan with enhancement image. That showed bone density well-defined lesions in right eyelid (arrow) and medial cahthus (arrowhead). Axial view.

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Figure 3

Overview dissection of biopsy of eyelid mass. Histopathology of the tissue biopsy demonstrated spicules of bone (red arrow) in the dermis and subcutaneous tissue (haematoxylin and eosin stain, ×12.5). Hair follicle (red arrowhead) and eccrine sweat gland (black arrowhead) are shown in dermis.

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Figure 4

Anterior segment photographs of the mass. Scar formation is observed on right eyelid (arrow) and medial canthus (arrowhead).

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Notes

This study was presented as a E-poster at the 118th Annual Meeting of the Korean Ophthalmological Society 2017.

Conflicts of Interest The authors have no conflicts to disclose.

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