Cutaneous Horn of the Eyelid in 13 Cases
| Autor: | Alexzandra M. Douglass, Carol L. Shields, Molly R. Marous, Ralph C. Eagle, Jerry A. Shields, Celine E. Satija, Renelle Pointdujour-Lim |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Seborrheic keratosis medicine.medical_specialty Adolescent Biopsy Pseudoepitheliomatous Hyperplasia Diagnosis Differential Young Adult 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Nevus sebaceous medicine Humans Inverted follicular keratosis Child Aged Retrospective Studies Aged 80 and over Trichilemmoma business.industry Actinic keratosis Eyelids Keratosis General Medicine Middle Aged medicine.disease Dermatology Ophthalmology medicine.anatomical_structure Cutaneous horn Eyelid Diseases 030221 ophthalmology & optometry Female Surgery Eyelid business |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 33:233-236 |
| ISSN: | 0740-9303 |
| DOI: | 10.1097/iop.0000000000000816 |
| Popis: | Introduction Cutaneous horn of the eyelid is uncommon. The authors evaluate the features of benign, premalignant, and malignant tumors at the base of cutaneous horn of the eyelid. Objective To describe the clinical and histopathologic features of cutaneous horn of the eyelid. Design A retrospective analysis of 13 cases of cutaneous horn of the eyelid treated between 1994 and 2014 was performed. Participants Thirteen patients participated in this study. Main outcome measures Main outcome measures include clinical and histopathologic features and outcomes of cutaneous horn. Results The mean patient age was 54 years (median 64 years, range 9-91 years), and 6 patients (46%) were women. The cutaneous horn affected the upper (n = 5), lower (n = 6) eyelid, or was not indicated (n = 2). The mean height of the cutaneous horn was 7.6 mm (median 8mm, range 4-12 mm) and mean basal diameter was 3.8 mm (median 3mm, range 2-6 mm). The cutaneous horn was comprised of superficial layers of keratin with hyperkeratosis and parakeratosis overlying a solid tumor at the base in all cases. The tumor base included benign (n = 6, 46%), premalignant (n = 4, 31%), and malignant (n = 3, 23%) conditions. The benign basal lesions included seborrheic keratosis (n = 1), nevus sebaceous of Jadassohn (n = 1), pseudoepitheliomatous hyperplasia (n = 1), trichilemmoma (n = 1), and inverted follicular keratosis (n = 2). Premalignant basal lesions were actinic keratosis (n = 4), and malignant basal lesions included squamous cell carcinoma (n = 2) and sebaceous gland carcinoma (n = 1). Conclusions The clinical significance of cutaneous horn of the eyelid lies not in the horn itself but the nature of the underlying base. Malignancy was found in 23% of patients. |
| Databáze: | OpenAIRE |
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