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[Recurrent palpebral keratoacanthoma]
1Disciplina Oftalmologică Craiova.
Oftalmologia (Bucharest, Romania : 1990)
|January 1, 1997
Summary
A rare keratoacanthoma on the eyelid caused a corneal ulcer in a 74-year-old female. Surgical removal and skin grafting were performed, with ongoing observation for potential recurrence or misdiagnosis.
Area of Science:
- Ophthalmology
- Dermatology
- Pathology
Background:
- Keratoacanthoma is a rapidly growing skin tumor.
- Eyelid involvement is uncommon but can lead to significant complications.
Observation:
- A 74-year-old female presented with a 15-year history of a hyperkeratotic eyelid neoformation.
- The lesion extended to the upper eyelid, external canthus, lower eyelid, and palpebral fissure of the right eye.
- Previous excision eight years prior resulted in relapse and a corneal ulcer.
Findings:
- Surgical extirpation of the eyelid tumor was performed, followed by a free skin graft.
- Anatomopathological examination confirmed keratoacanthoma, characterized by acanthosis, hyperkeratosis, and dyskeratosis of the pluristratified epithelium.
- The basal membrane was preserved, with a mild chronic inflammatory infiltrate noted.
Implications:
- Accurate diagnosis is crucial, necessitating differentiation from spinocellular epithelioma.
- This case highlights the importance of vigilant follow-up for eyelid keratoacanthoma.
- Management requires careful surgical planning and consideration of potential complications like corneal ulceration.