Chalazion with Pyogenic Granuloma - a Case Report
Loeffler K. U.
Department of Ophthalmology, University of Bonn
Purpose: A 42-year-old male patient was referred from his ophthalmologist for removal of a chalazion from the right upper lid. The lesion - a nodular thickening with a subtarsal pyogenic granuloma - had been present for several weeks, while the remainder of the ocular findings were normal. Apart from obesity and some allergy problems, the patient's general health was also unremarkable.
Method: The chalazion was removed in a standard fashion, and the tissue was examined routinely in our Histopathology Laboratory.
Results: Histopathology - to our surprise - showed a poorly differentiated sebaceous cell carcinoma, so that a second and third operation were performed to remove all of the tumour. A thorough dermatologic and medical examination revealed no further malignancies to date.
Conclusions: Even an experienced ophthalmologist can - especially in younger patients - misdiagnose a malignant tumour as a chalazion, and histopathologic examination of all excised material is therefore mandatory even in routine cases. Particularly when a sebaceous cell carcinoma is diagnosed at a young age, the patient should be investigated for Muir-Torre-Syndrom.
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