A Case of Primary Lipogranuloma in Eyelid.

Doh, Sang Hee; Lee, Sang Kyu; Yang, Suk Woo

doi:2008.49.12.2001

J Korean Ophthalmol Soc > Volume 49(12); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(12):2001-2005.
DOI: https://doi.org/10.3341/jkos.2008.49.12.2001 Published online December 15, 2008.

A Case of Primary Lipogranuloma in Eyelid.

Sang Hee Doh, Sang Kyu Lee, Suk Woo Yang

¹Department of Ophthalmology, St. Paul's Hospital, The Catholic University of Korea, Seoul, Korea.
²Department of Ophthalmology, Kangnam St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea. yswoph@hanmail.net

상안검에 생긴 원발성 지방육아종 1예

도상희¹ㆍ이상규²ㆍ양석우²

Department of Ophthalmology, St. Paul’s Hospital, The Catholic University of Korea¹, Seoul, Korea / Department of Ophthalmology, Kangnam St. Mary’s Hospital, The Catholic University of Korea², Seoul, Korea

Abstract

PURPOSE
We report one case of primary giant lipogranuloma in the whole upper lid. CASE SUMMARY: A 37-year-old man with a left whole upper lid mass that developed 3 months prior to admission visited our hospital. Biopsy was performed, and lipogranuloma was diagnosed. We attempted to remove the lesion by non-surgical local triamcinolone injection with no effect, so we finally removed the lipogranuloma by surgical resection. In the postoperative histological findings, the upper lid mass showed variously sized multiple cystic spaces surrounded by macrophage infiltration and fibrosis consistent with lipogranuloma. CONCLUSIONS: We report the first case of primary giant lipogranuloma in the upper eyelid in Korea. We considered repeated intralesional triamcinolone injections to be a better treatment method than surgical resection. Final surgical resection might be more effective, however, after an intralesional steroid injection to reduce the size of the lipogranuloma.

Key Words: Eyelid;Primary lipogranuloma;Triamcinolone injection