2016
DOI: 10.4103/2008-322x.194144
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Pleomorphic adenoma of the eyelid with apocrine gland origin; an atypical location

Abstract: Purpose:To describe the clinical presentation and treatment of a patient with a cutaneous pleomorphic adenoma of the eyelid.Case Report:A 73-year-old male patient presented with a nodular mass on the lateral third of his right upper eyelid, which had slowly enlarged over 10 years. Radiologic features were of an extra-conical mass, with no invasion of adjacent structures. An excisional biopsy of the lesion was performed. The histopathological examination revealed a biphasic tumor, composed of tubules with a dou… Show more

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Cited by 8 publications
(4 citation statements)
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“…Eyelid lesions that exhibit decapitation secretion have been described in such diverse entities as apocrine tubular adenoma, 3 hidradenoma, 4 pleomorphic adenoma, 5 and adenocarcinoma. 4,6 When decapitation is absent due to chronic hydrostatic pressure within a cyst lumen, the apocrine derivation may be inferred from the presence of the bilayer and supported by the positivity of characteristic immunostains such as GDCFP-15 (Gross Cystic Disease Fluid Protein 15) and CK7.…”
Section: Discussionmentioning
confidence: 99%
“…Eyelid lesions that exhibit decapitation secretion have been described in such diverse entities as apocrine tubular adenoma, 3 hidradenoma, 4 pleomorphic adenoma, 5 and adenocarcinoma. 4,6 When decapitation is absent due to chronic hydrostatic pressure within a cyst lumen, the apocrine derivation may be inferred from the presence of the bilayer and supported by the positivity of characteristic immunostains such as GDCFP-15 (Gross Cystic Disease Fluid Protein 15) and CK7.…”
Section: Discussionmentioning
confidence: 99%
“…Follow-up is indicated only if the excision is incomplete which may recur or transform into malignancy, which has been very rarely documented in the literature [12]. Other methods of treatment are electrodessication, dermabrasion, and vaporization with argon or CO 2 laser [13]. For malignant lesions, the initial treatment modality is aggressive surgery followed by adjuvant radiotherapy, with or without chemotherapy [8].…”
Section: Discussionmentioning
confidence: 99%
“…The lesion in our patient demonstrated focal spindle cell stromal proliferation in a myxoid background and squamous metaplasia reminiscent of apocrine variant of pleomorphic adenoma (chondroid syringoma), a rare adnexal neoplasm, which can arise in apocrine sweat glands. Similar to its salivary and lacrimal gland counterpart, the chondroid syringoma is characterized by proliferation of sweat gland ductules suspended in a myxoid, chondroid, adipocytic, or fibrous stroma, 11 which harbors PLAG1 rearrangements in 37–72% of cases 12 . The apocrine variant of chondroid syringoma features glandular epithelial component with apocrine differentiation.…”
Section: Discussionmentioning
confidence: 99%