Dr.Priyanka Golhait

Prof.Ruchi Goel

Abstract

A 57-year female presented with a painless,right upper lid mass since 6months.The mass was initially small,gradually increasing in size to 16*8mm.It was adhering to the tarsus with multiple yellowish globules and dilated telangiectatic vessels.The lid architecture was distorted with loss of lashes.There was no lymphadenopathy and CECT chest and abdomen were unremarkable.There was no prior history of surgical intervention.Provisional diagnosis of right upper lid malignancy was made,most likely sebaceous gland carcinoma.Frozen section with 4mm wide margins was sent,followed by reconstruction with Tenzel’s semicircular flap.
Histopathology showed a cystic cavity surrounded by capsule lined by basaloid cells arranged in sheets with many shadow cells.There was evidence of abrupt central keratinization with absence of granular cell layer,with focal areas of calcification and mononuclear cells inflammation.The features were suggestive of pilomatrixoma,and the resection margins were tumor free