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CC BY-NC-ND 4.0 · Indian J Plast Surg 2010; 43(02): 213-215
DOI: 10.4103/0970-0358.73456
Case Report
Association of Plastic Surgeons of India

Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings

Surendra B. Patil
Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, India
,
Satish M. Kale
Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, India
,
Sumeet Jaiswal
Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, India
,
Nishant Khare
Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, India
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Publikationsdatum:
15. Januar 2020 (online)

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ABSTRACT

Schwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history of slowly enlarging, painless mass in his left upper lid with resultant progressive ptosis. Ocular examination was suggestive of a firm, non-tender nodule of size 2 × 1.5 × 1 cm on the left upper lid. The mass was non-adherent to the skin or the underlying tissue. The eyelid skin and conjunctiva were indurated and signs of inflammation were present. The lateral part of eyelid showed presence of an ulcer and the lid function was severely hampered. Provisional clinical diagnosis was that of an eyelid malignancy. With this in mind, the medial part of the lid was excised and reconstructed using a tarso-conjunctival flap from the lower eyelid in conjunction with a skin graft. The histopathology and immunohistochemistry established the diagnosis of Schwannoma. We recommend that Schwannoma be considered in the differential diagnosis of well-circumscribed eyelid swellings.

KEY WORDS

Eyelid tumours - malignant eyelid tumours - Schwannoma - S-100 protein
 

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