D'Hermies F, Berges O, Elmaleh C, Renard G, Pouliquen Y
Laboratoire d'Ophtalmologie, Hôtel-Dieu, Paris.
J Fr Ophtalmol. 1992;15(2):157-60.
Primary adnexal tumors of the eyelids are quite uncommon. This diagnosis should be considered in the case of a sub-epidermal tumor. We report the case of a 25-year-old female patient presenting with a left eyelid nodular tumor, which appeared clinically as a whitish swelling of the lateral part of the eyelid, covered by normal epidermis. Ultrasonography showed a heterogeneous structure probably containing calcified areas. Complete surgical removal was performed under local anesthesia. Macroscopically, the tumor was encapsulated, with an irregular surface, and it appeared stony under section. Microscopically, it was characteristic of a pilomatrixoma, with sheets of mummified cells devoid of nuclei, either clear or basophilic, and partially calcified. Neither granulomatous reaction nor ossification were observed. This clinicopathological report recalls that pilomatrixoma may appear as a single nodular tumor of the eyelid.
眼睑原发性附件肿瘤相当罕见。对于表皮下肿瘤应考虑这一诊断。我们报告一例25岁女性患者，其左眼睑出现结节状肿瘤，临床上表现为眼睑外侧呈白色肿胀，表面覆盖正常表皮。超声检查显示结构不均匀，可能含有钙化区域。在局部麻醉下进行了完整的手术切除。肉眼可见，肿瘤有包膜，表面不规则，切面呈石样。显微镜下，其具有毛母质瘤的特征，有一片片无细胞核的木乃伊化细胞，细胞呈透明或嗜碱性，且部分钙化。未观察到肉芽肿反应或骨化现象。这份临床病理报告提示，毛母质瘤可能表现为眼睑的单个结节状肿瘤。
