Ulcerative Squamous Eyelid Papilloma: A Rare Presentation

Abstract

Purpose: To highlight the importance of histopathological evaluation of a lid mass to prognosticate the disease. We report a case of ulcerative squamous cell papilloma with clinical features suggesting malignancy.


Case report: A 65-year-old man presented with a rapidly enlarging mass in the left upper eyelid, with clinical features suggesting a squamous cell carcinoma. However, a repeat histopathological examination showed no malignant cells. The patient was diagnosed with squamous cell papilloma. He was followed-up for 30 months and no recurrence was observed. No such case has previously been reported in the literature.


Conclusion: This report highlights the need for histopathological examination of all eyelid lesions to enable surgeons to prognosticate the disease.

Keywords:

Carcinoma, Eyelid, Histopathological, Squamous Papilloma

References
1. Deprez M, Uffer S. Clinicopathological features of eyelid skin tumors. A retrospective study of 5504 cases and review of literature. Am J Dermatopathol 2009;31:256–262.

2. Coroi MC, Roşca E, Muţiu G, Coroi T, Bonta M. Eyelid tumors: histopathological and clinical study performed in County Hospital of Oradea between 2000-2007. Rom J Morphol Embryol 2010;51:111–115.

3. Bagheri A, Tavakoli M, Kanaani A, Zavareh RB, Esfandiari H, Aletaha M, et al. Eyelid masses: a 10-year survey from a tertiary eye hospital in Tehran. Middle East Afr J Ophthalmol 2013;20:187–192.

4. Asproudis I, Sotiropoulos G, Gartzios C, Raggos V, Papoudou-Bai A, Ntountas l, et al. Eyelid tumors at the University Eye Clinic of Ioannina, Greece: a 30- year retrospective study. Middle East Afr J Ophthalmol 2015;22:230–232.

5. Kersten RC, Ewing-Chow D, Kulwin DR, Gallon M. Accuracy of clinical diagnosis of cutaneous eyelid lesions. Ophthalmology 1997;104:479–484.

6. D’hermies F, Morel X, Bourgade JM, Meyer A, Behar Cohen F, Dighiero P, et al. [Hyperkeratosis papilloma of the eyelid. An anatomic clinical case]. J Fr Ophtalmol 2001;24:558–561.

7. Mathur A, Mehrotra ML, Gupta A. Pigmented squamous cell papilloma–a case report. Indian J Ophthalmol 1987;35:158–159.

8. Rahmi D, Mehmet B, Ceyda B, Sibel O. Management of the large upper eyelid defects with cutler-beard flap. J Ophthalmol 2014;2014:424567.

9. Fischer T, Noever G, Langer M, Kammer E. Experience in upper eyelid reconstruction with the Cutler-Beard technique. Ann Plast Surg 2001;47:338–342.