A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid.

Park, Jun Min; Kim, Sang Soo

doi:2018.59.2.176

J Korean Ophthalmol Soc > Volume 59(2); 2018 > Article

Case Report

Journal of the Korean Ophthalmological Society 2018;59(2):176-180.
DOI: https://doi.org/10.3341/jkos.2018.59.2.176 Published online February 15, 2018.

A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid.

Jun Min Park, Sang Soo Kim

Department of Ophthalmology, Maryknoll Medical Center, Busan, Korea. eyerheu@hanafos.com

하안검에 발생한 원발점액샘암종 1예

박준민⋅김상수

메리놀병원 안과

Correspondence: Sang Soo Kim,
Email: eyerheu@hanafos.com

Received: 9 November 2017 • Revised: 12 December 2017 • Accepted: 20 January 2018

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.

Key Words: Eyelid mass;Mucinous adenocarcinoma