J Korean Ophthalmol Soc.  2011 Sep;52(9):1094-1098.

A Case of Nodular Hidradenoma of Upper Eyelid Presenting with Ptosis

• Lee CK
• Kim SS

Abstract

PURPOSE
To report the presentation and management of an atypical and advanced case of nodular hidradenoma of the eyelid with ptosis.
CASE SUMMARY
A 64-year-old woman who presented with a palpable growing nodular mass and ptosis was tested with marginal reflex distance 1 as right eye 1 mm, left eye -1.5 mm and levator function test as 12 mm and 10 mm, respectively during a hospital visit. The patient was tentatively diagnosed with eyelid adnexal tumor with mechanical ptosis and was managed by surgical excision of the lesion. Histology confirmed hidradenoma.
CONCLUSIONS
Hidradenomas are benign adnexal tumors originating from the eccrine gland and rarely detectable in the eyelid. However, rudimentary glandular structures can be a possible tumor source. Nodular hidradenoma should be considered in the differential diagnosis of adnexal masses and such lesions may cause significant functional and cosmetic morbidity despite their histologically benign nature.

Keyword

Benign adnexal mass; Nodular hidradenoma; Ptosis; Upper eyelid

MeSH Terms

Acrospiroma
Cosmetics
Diagnosis, Differential
Eccrine Glands
Eye
Eyelids
Female
Humans
Middle Aged
Reflex
Cosmetics

Figure

• 

  Figure 1. The photograph of the nodular mass protruding from the left upper tarsal conjunctiva that is measured as 10 × 8 mm in size.

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  Figure 2. On her first hospital visit. (A) She presented with left upper eyelid swelling causing mechanical ptosis. (B) Marginal reflex distance (MRD) 1 was measured as 1.0 mm in the right eye and −1.5 mm in the left.

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  Figure 3. (A) The tumor consists mainly of clear cells and some fusiform cells with intervening vessel-rich hyalinized stroma (hematoxylin and eosin stain, ×100). (B) Sections show tubular lumina (arrow head) and cystic spaces (arrows) as a result of degeneration of tumor cells (H&E stain, ×400).

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  Figure 4. After 3 months of total excision. (A) The biopsy site is well apporximated and clear. (B) Marginal reflex distance (MRD) 1 was measured as 1.0 mm in the right eye and 0.5 mm in the left.

Reference

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