A caruncular choristoma presenting as an eyelid mass in an infant

Zachary J Berbos1, C J Douglas Cameron, Stefan Pambuccian

  • 1Department of Ophthalmology, University of Minnesota, Minneapolis, Minnesota 55455, USA.

Insights

A rare congenital eyelid mass in a 7-week-old was diagnosed as a caruncular choristoma after surgical removal. This is the first reported case of caruncular tissue presenting externally on the eyelid.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Dermatopathology

Background:

  • Congenital eyelid masses require accurate diagnosis and management.
  • Caruncular choristomas are rare benign tumors typically found in the lacrimal caruncle.

Observation:

  • A 7-week-old infant presented with a congenital mass on the external eyelid.
  • The mass was surgically excised for evaluation.

Findings:

  • Histopathologic examination confirmed the diagnosis of caruncular choristoma.
  • This represents the first documented instance of caruncular tissue presenting as an external eyelid mass.

Implications:

  • This case expands the known clinical presentations of caruncular choristomas.
  • It underscores the need for comprehensive histopathological analysis of all eyelid masses, regardless of location.