J Korean Ophthalmol Soc > Volume 49(10); 2008 > Article
Journal of the Korean Ophthalmological Society 2008;49(10):1671-1675.
DOI: https://doi.org/10.3341/jkos.2008.49.10.1671    Published online October 15, 2008.
Solitary Kaposi's Sarcoma of the Lower Lid in an HIV-Negative Patient.
Hye Jin Chung, Tae Yoon La
Department of Ophthalmology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Gyeonggido, Korea. laty@catholic.ac.kr
인체면역결핍바이러스 음성 환자의 아래 눈꺼풀에서 발생한 단발성 카포시 육종
정혜진ㆍ나태윤
Department of Ophthalmology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Gyeonggido, Korea
Abstract
PURPOSE
To report a case of solitary Kaposi's sarcoma (KS) of eyelid in an HIV-negative patient, which has not yet been reported in domestics. CASE SUMMARY: A 76-year-old woman was seen at our clinic with a purplish nodular mass on her left lower lid that had grown up for 4 months prior. There were no abnormal findings in the body except eyelid. In the routine laboratory examinations, the result of HIV test was negative. The lesion was completely excised and the eyelid was reconstructed by semicircular rotational flap procedure. The histopathologic examination showed spindle cells of mild atypism, intermixed with slit-like vascular spaces and red blood cell extravastaion. These findings coincided with KS and polymerase chain reaction was positive for human herpes virus-8. During 10 months follow up, there was no evidence of tumor recurrence and systemic abnormalities. CONCLUSIONS: We experienced that Kaposi's sarcoma can occur solitarily in the eyelid of HIV-negative patient and favorable prognosis can be obtained by only surgical resection.
Key Words: Eyelid;HIV-negative patient;Kaposi's sarcoma


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