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Trichofolliculoma of the Eyelid Margin

A Case Report and Review of Literature

Kapoor, Anasua Ganguly, M.D., F.I.C.O.*; V.S., Vijitha, M.S., F.I.C.O.*; Mittal, Ruchi, M.D., D.N.B.

Ophthalmic Plastic & Reconstructive Surgery: May/June 2019 - Volume 35 - Issue 3 - p e74–e76
doi: 10.1097/IOP.0000000000001363
Case Reports

Trichofolliculoma is a rare benign tumor of the skin, with distinct pilar differentiation and a predilection for the head and neck. To the best of the authors’ knowledge, only 10 cases of eyelid trichofolliculoma has been described in the English literature. Moreover, these benign hair follicle lesions have been reported to clinically mimic eyelid malignancy. The authors report a case of a 58-year-old woman with a nodule on the eyelid margin, with typical clinical features and characteristic histopathological findings aiding the diagnosis of trichofolliculoma. Complete resection was performed to prevent recurrence. The authors also reviewed all the cases of eyelid trichofolliculoma reported in literature to highlight the demography, clinical features, and management of this rare eyelid tumor.

Eyelid margin trichofolliculomas are uncommon adnexal tumors which can sometimes mimic a malignancy. Complete surgical excision and histopathological examination remains the standard of care.

*The Operation Eyesight Universal Institute for Eye Cancer, Ophthalmic Plastic Surgery and Ocular Oncology Services, LV Prasad Eye Institute, Vijayawada, India

Kanupriya Dalmia Ophthalmic Pathology Laboratory, LV Prasad Eye Institute, MTC Campus, Bhubaneswar, India

Accepted for publication February 4, 2019.

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to Ruchi Mittal, M.D., D.N.B., LV Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Patia, Bhubaneswar, 751024. E-mail:;

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.