Glomus tumour occurs rarely in the periocular region. We describe a solitary glomus tumour of the eyelid that was painless and nontender. A 45-year-old woman presented with a subcutaneous violaceous nodule on the right upper eyelid measuring 6 mm in diameter; she had had it for 12 months. Excisional biopsy was performed, and histological examination demonstrated features consistent with glomus tumour. Our case illustrates the potential of glomus tumour to occur on the eyelid and present in an atypical fashion without pain or tenderness.
Case ReportA 45-year-old woman had a 12-month history of a subcutaneous violaceous nodule on the right upper eyelid measuring 6 mm in diameter (Fig. 1). She had not noticed any obvious increase in size or change in appearance of the lesion. The nodule was painless and not tender to touch or pressure. She had no significant past medical or family history. Examination revealed no ocular or orbital pathology, and the remainder of her skin was unremarkable. Excisional biopsy of the nodule was performed owing to its unusual presentation and appearance as well as for cosmetic reasons. Microscopy examination showed an encapsulated lesion composed of endothelial-lined vascular channels filled with blood separated by fibrocellular septae (Fig. 2a); the vascular channels were lined with endothelium and surrounded by one to three layers of cells with round to oval nuclei and no evidence of pleomorphism or ill-defined cytoplasm (Fig. 2b). These features seem to be characteristic of a glomus tumour. Histological examination proved that the excision was complete, and there was no evidence of recurrence at the 18-month follow-up.