J Korean Ophthalmol Soc.  2019 Dec;60(12):1290-1294. 10.3341/jkos.2019.60.12.1290.

Osteoma Cutis on Eyelid

Affiliations
  • 1Department of Ophthalmology, Dongguk University Ilsan Hospital, Goyang, Korea. mdjacob@naver.com
  • 2Department of Pathology, Dongguk University Ilsan Hospital, Goyang, Korea.

Abstract

PURPOSE
To present the first report describing lesions of osteoma cutis on the upper eyelid and medial canthus.
CASE SUMMARY
A 4-year-old female complained of a right upper eyelid mass. The examination showed a well-delineated, mild bluish-colored, hard mass over the upper eyelid and the medial canthus measuring 10 × 10 mm and 2 × 2 mm. During the cutaneous examination, her forearm, left shin, right dorsum of the foot, neck, and abdominal wall also showed well-delineated, mild bluish-colored, immobile hard masses, similar to the upper eyelid mass. A right upper eyelid and medial canthus mass excision was performed and a biopsy specimen was collected. Hematoxyline and eosin staining showed a mature bone in the dermis with spicules of bone and osteoblasts. She was finally diagnosed with osteoma cutis on the upper eyelid and the medial canthus.
CONCLUSIONS
Osteoma cutis is a rare, benign skin disorder characterized by bone formation in the skin. Albright hereditary osteodystrophy, which causes a metabolic disorder, should also be considered to prevent complications.

Keyword

Eyelid tumor; Osseous heteroplasia and progressive; Osteoma cutis

MeSH Terms

Abdominal Wall
Biopsy
Child, Preschool
Dermis
Eosine Yellowish-(YS)
Eyelids*
Female
Foot
Forearm
Hematoxylin
Humans
Lacrimal Apparatus
Neck
Osteoblasts
Osteogenesis
Osteoma*
Skin
Eosine Yellowish-(YS)
Hematoxylin

Figure

  • Figure 1 Anterior segment photographs of the mass and clinical photograph of patient at inital presentation. (A) There was well marginated, mild bluish-colored, hard mass was seen on right eyelid (arrow) and medial canthus (arrowhead). (B) The child showed rounded chubby face and flat nose. Informed consent was obtained from the study participant.

  • Figure 2 Orbit computed tomography scan with enhancement image. That showed bone density well-defined lesions in right eyelid (arrow) and medial cahthus (arrowhead). Axial view.

  • Figure 3 Overview dissection of biopsy of eyelid mass. Histopathology of the tissue biopsy demonstrated spicules of bone (red arrow) in the dermis and subcutaneous tissue (haematoxylin and eosin stain, ×12.5). Hair follicle (red arrowhead) and eccrine sweat gland (black arrowhead) are shown in dermis.

  • Figure 4 Anterior segment photographs of the mass. Scar formation is observed on right eyelid (arrow) and medial canthus (arrowhead).


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