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Unilateral invasive xanthelasma palpebrarum
1Department of Surgery, Stanford University Medical Center, California 94305.
Ophthalmic Plastic and Reconstructive Surgery
|January 1, 1987
Summary
This case study details a rare, aggressive, and recurrent xanthelasma palpebrarum that mimicked malignancy. Surgical excision with skin grafting successfully treated this benign eyelid lesion.
Area of Science:
- Dermatology
- Ophthalmology
- Surgical Oncology
Background:
- Xanthelasma palpebrarum (XP) typically presents as benign, yellowish cutaneous deposits on the eyelids.
- Aggressive or recurrent XP can pose diagnostic and therapeutic challenges, sometimes mimicking malignant neoplasms.
Observation:
- A unique case of unilateral xanthelasma palpebrarum exhibiting rapid, invasive growth and recurrence was observed.
- Clinically, the lesion presented features suggestive of malignancy, including aggressive infiltration.
Findings:
- Histopathological examination confirmed the lesion was benign, despite its aggressive clinical appearance.
- The treatment involved wide surgical excision of the affected tissue and reconstruction using full-thickness skin grafts.
Implications:
- This case highlights the importance of considering benign conditions that can mimic malignancy in the differential diagnosis of eyelid lesions.
- Effective surgical management, including complete excision and reconstruction, is crucial for managing aggressive and recurrent xanthelasma palpebrarum.