Ulcerative Squamous Eyelid Papilloma: A Rare Presentation.

Area of Science:

• Ophthalmology
• Dermatopathology

Background:

• Eyelid masses require accurate diagnosis for appropriate management.
• Clinical presentation can sometimes be misleading, mimicking malignant conditions.

Observation:

• A 65-year-old male presented with a rapidly growing left upper eyelid mass clinically suggestive of squamous cell carcinoma.
• Initial assessment indicated malignancy, prompting further investigation.

Findings:

• Histopathological examination revealed a squamous cell papilloma, not squamous cell carcinoma.
• The patient experienced no recurrence during a 30-month follow-up period.

Implications:

• This case underscores the critical role of histopathology in diagnosing eyelid lesions.
• Accurate histopathological evaluation is essential for correct prognostication and surgical planning.
• All eyelid masses warrant thorough histopathological assessment to avoid misdiagnosis.