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Ophthalmic Images

Eccrine poroma of the eyelid

Sharma, Manjula; Singh, Manpreet; Gupta, Kirti1; Kaur, Manpreet; Gupta, Pankaj

Author Information
Indian Journal of Ophthalmology: November 2020 - Volume 68 - Issue 11 - p 2522
doi: 10.4103/ijo.IJO_666_20
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A 58-years-male had painless, progressive mass below the left temporal eyebrow from 8 years. It was reddish-blue, pea-sized (10 mm × 10 mm), sessile with few intervening cilia [Fig. 1a]. It was non-tender and free from the underlying bone. There was no ulceration or regional lymphadenopathy. The rest of the ophthalmic examination was unremarkable. We kept a working diagnosis of acquired capillary hemangioma and performed an excision biopsy. Histopathology [Fig. 1b-d] showed a well-circumscribed epidermis tumor arranged in interconnecting trabeculae forming sheets. The cuboidal to polygonal cells showed intracytoplasmic melanin, ductal differentiation, and the desmoplastic reaction confirming an eccrine poroma.

Figure 1
Figure 1:
(a) A reddish-blue lesion with surface excoriation having interspersed cilia.(b) (H&E, ×100) The epidermis shows acanthosis and broad an astomosing bands of epithelial cells extending into underlying subepithelium.(c and d) (H&E, ×200) Sharply defined nests composed of epithelial cells with the uniform cuboidal appearance and deeply basophilic round nuclei

It is a benign neoplasm of sweat glands, usually presenting in the middle-aged generally in the palms and soles.[1] Complete excision is curative.[2]

2.1 Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understand that his names and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.

2.2 Financial support and sponsorship

Nil.

2.3 Conflicts of interest

There are no conflicts of interest.

Acknowledgment

Prof. Usha Singh, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

References

Vu PP, Whitehead KJ, Sullivan TJ. Eccrineporoma of the eyelid Clin Exp Ophthalmol. 2001;29:253–55
Ahuja S, Kaur A, Goel M, Raghuvanshi S, Arya A. Eccrineintraepidermalporoma of the eyelid Indian J Ophthalmol. 2019;67:131–2
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