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Case Reports
. 2023 Feb 21;16(1):136-138.
doi: 10.4103/ojo.ojo_79_22. eCollection 2023 Jan-Apr.

A rapidly growing pedunculated pilomatrixoma of the eyelid

Walaa Alturkistany  1   2 , Mohammed Alrajeh  3 , Osama Alsheikh  2
Affiliations
Case Reports

A rapidly growing pedunculated pilomatrixoma of the eyelid

Walaa Alturkistany et al. Oman J Ophthalmol. .

Abstract

A pilomatrixoma is a benign tumor originating from a hair follicle that most frequently occurs in the head-and-neck region. It usually presents as a subcutaneous, slow-growing, nodular, painless firm mass. There are few reported cases on eyelid pilomatrixoma. We reporting an unusual presentation of a rapidly growing pedunculated eyelid pilomatrixoma in a 29-year-old female patient. Surgical excision was performed, and histological examination showed a cavity containing proliferating cords of basaloid cells differentiated into eosinophilic keratinized shadow cells confirming the pilomatrixoma diagnosis. Only a few cases with pedunculated eyelid masses have been reported in the literature; pedunculated lesions can be misdiagnosed as vascular tumors or malignancies. Therefore, pilomatrixoma should be considered in the differential diagnosis of such a presentation. A complete excisional biopsy of the mass is diagnostic and therapeutic.

Keywords: Eyelid; pedunculated lesion; pilomatrixoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
Pedunculated right upper eyelid mass
Figure 2:
Figure 2:
Histological findings showing basaloid cells differentiated from shadow cells
See this image and copyright information in PMC

References

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