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Melanoma of the Lower Eyelid : A Case Report

By: Contributor(s): Language: ENGLISH Publication details: QUEZON CITY FEU-NRMF 2016Description: 14 PAGESLOC classification:
  • RESOPH20160001
Summary: ABSTRACT: This is a case of 43-year old female who presented with a pea-sized elevated, smooth, tan-colored lower eyelid mass. Excision biopsy showed a benign nature. 3 months post excision, there was a recurrence of the mass that presented with the same features as the initial lesion. The lesion was excised and histopathologic examination revealed a malignant tumor; specifically, Basal Cell Carcinoma. Melanoma cannot be ruled out and so further studies were done. immunihistochemical studies showed a strong expression of HMB45 and Melan-A which are biomakers for Melanoma. Patient was referred to an Oncologist to rule out metastasis to the orbit and other organs. The patient was negative for metastasis. The patient underwent Frozen-guided lid mass excision with reconstruction using tarsoconjunctival bridge flap from the upper lid and autologus supraclavicular full-thickness skin graft (Modified Hughes Procedure) under General Anesthesia.
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Research Far Eastern University - Nicanor Reyes Medical Foundation Research OPH20160001 (Browse shelf(Opens below)) Available RC-RC-0015-16 R000519

ABSTRACT: This is a case of 43-year old female who presented with a pea-sized elevated, smooth, tan-colored lower eyelid mass. Excision biopsy showed a benign nature. 3 months post excision, there was a recurrence of the mass that presented with the same features as the initial lesion. The lesion was excised and histopathologic examination revealed a malignant tumor; specifically, Basal Cell Carcinoma. Melanoma cannot be ruled out and so further studies were done. immunihistochemical studies showed a strong expression of HMB45 and Melan-A which are biomakers for Melanoma. Patient was referred to an Oncologist to rule out metastasis to the orbit and other organs. The patient was negative for metastasis. The patient underwent Frozen-guided lid mass excision with reconstruction using tarsoconjunctival bridge flap from the upper lid and autologus supraclavicular full-thickness skin graft (Modified Hughes Procedure) under General Anesthesia.

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