J Korean Ophthalmol Soc.  2018 Feb;59(2):176-180. 10.3341/jkos.2018.59.2.176.

A Case of Primary Mucinous Adenocarcinoma of the Lower Eyelid

• Park JM
• Kim SS

• KMID: 2403812
• DOI: http://doi.org/10.3341/jkos.2018.59.2.176

Abstract

PURPOSE
To report a rare case of a recurrent painless mass of the right lower eyelid, which was histologically diagnosed as a mucinous adenocarcinoma.
CASE SUMMARY
A 59-year-old male had a painless nodule on the right lower eyelid for 2 years. He had a history of five laser treatments done by a dermatologist prior to the initial presentation. Surgical shave biopsy was performed and a histopathological examination revealed a mucinous adenocarcinoma. We subsequently performed a pentagonal excision of the lower eyelid with assisted frozen biopsy until no tumor cells were seen at the margin. A postoperative whole-body positron emission tomography scan, chest computerized tomography, gastrointestinal endoscopy, and colonoscopy excluded systemic metastases. No recurrence has been observed for 18 months after the surgery.
CONCLUSIONS
Primary mucinous adenocarcinoma is a rare disorder of the eyelid. Because it has various morphologies, and the final diagnosis can only be made by histopathological examination. If there is a recurrent mass at the eyelid margin, adenocarcinoma should be considered as the differential diagnosis. A complete surgical excision is recommended to prevent local recurrence.

Keyword

Eyelid mass; Mucinous adenocarcinoma

MeSH Terms

Adenocarcinoma
Adenocarcinoma, Mucinous*
Biopsy
Colonoscopy
Diagnosis
Diagnosis, Differential
Endoscopy, Gastrointestinal
Eyelids*
Humans
Male
Middle Aged
Mucins*
Neoplasm Metastasis
Positron-Emission Tomography
Recurrence
Thorax
Mucins