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.
It is a benign neoplasm of sweat glands, usually presenting in the middle-aged generally in the palms and soles. Complete excision is curative.
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Prof. Usha Singh, Department of Ophthalmology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
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Ahuja S, Kaur A, Goel M, Raghuvanshi S, Arya A. Eccrineintraepidermalporoma of the eyelid Indian J Ophthalmol. 2019;67:131–2