Folliculosebaceous Cystic Hamartoma of the Eyelid.

Yeom, Myeong In; Kim, Sang Soo

doi:2016.57.9.1460

J Korean Ophthalmol Soc > Volume 57(9); 2016 > Article

Case Report

Journal of the Korean Ophthalmological Society 2016;57(9):1460-1464.
DOI: https://doi.org/10.3341/jkos.2016.57.9.1460 Published online September 15, 2016.

Folliculosebaceous Cystic Hamartoma of the Eyelid.

Myeong In Yeom, Sang Soo Kim

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

눈꺼풀에 발생한 모낭피지선 낭성 과오종

염명인⋅김상수

메리놀병원 안과

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

Received: 21 April 2016 • Revised: 19 May 2016 • Accepted: 14 July 2016

Abstract

PURPOSE
Folliculosebaceous cystic hamartoma is a rare cutaneous hamartoma consisting of dilated folliculosebaceous units invested in mesenchymal elements. There is no report of folliculosebaceous cystic hamartoma case occurred in the eyelid. We report here on this case along with a review of the relevant literature. CASE SUMMARY: 72-year-old female visited for the complaint of a mass in right upper eyelid. The mass was 1.9 × 1.2 cm sized and palpated in the subcutaneous level of right upper eyelid. The mass was not tender and had hardness like rubber. It was covered by skin without adhesion but fixed on the upper tarsal plate. Turning the eyelid inside out, it was found that the upper tarsal plate was penetrated by the mass. There was no specific finding except both cataract by other ophthalmic examination. The paranasal sinus computed tomography finding was well demarcated 0.9 cm sized mass with calcification. The excisional biopsy was performed for diagnosis and treatment. In pathologic finding, various sized normal sebaceous lobules were connected with the dilated follicles through the sebaceous canal and formed infundibular structure. There were sclerosing collagen, adipose cells and vessels between follicles and sebaceous lobules. So it was compatible with folliculosebaceous cystic hamartoma. 18 months later, there was no recurrence and wound was clear. CONCLUSIONS: Folliculosebaceous cystic hamartoma of the eye lid is rare disease, and differential diagnosis is necessary in patient with mass of eyelid.

Key Words: Eyelid mass;Folliculosebaceous cystic hamartoma;Tarsal plate