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Asymptomatic Eyelid Papule in a 57-Year-Old Healthy Man
Anu Gupta, MD;
Franklin P. Flowers, MD;
Alan M. Lessner, MD
University of Florida College of Medicine, Gainesville
Arch Dermatol. 2000;136:1409-1414.
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REPORT OF A CASE
A 57-year-old man presented with a 1-year history of a slowly enlarging, asymptomatic papule on the right lower eyelid. He had no history of skin cancer, and the findings of a thorough review of systems were unremarkable.
On physical examination, a solitary 0.5-cm, skin-colored, elevated, nonulcerated papule was observed on the cutaneous surface of the right lower eyelid (Figure 1). There was no evidence of telangiectasias overlying the nodule or of a rolled border. No other cutaneous lesions were present. A shave biopsy specimen (Figure 2) was obtained, and during the procedure, the clinician noted that the nodule exuded a clear, gelatinous material.
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Figure 1.
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Figure 2.
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Laboratory investigations, including measurement of hemoglobin, hematocrit, electrolytes, and renal function, revealed no abnormalities.
What is your diagnosis?
Diagnosis: Mucinous eccrine adenocarcinoma.
Microscopic examination of the biopsy specimen revealed dermal nests of . . . [Full Text of this Article]
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