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| CASE REPORT |
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| Year : 1990 | Volume
: 38
| Issue : 4 | Page : 182 |
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Eccrine acrospiroma of eye lid-A case report
C Jagannath1, CS Sandhya1, K Venugopalachari2
1 S.V.R.R. Hospital, Tirupathi-517 507, India
2 Department of Ophthalmolgy, S.V.R.R. Hospital, Tirupathi-517 507, India
Correspondence Address:
C Jagannath
S.V.R.R. Hospital, Tirupathi-517 507
India
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 1964930 
Tumours arising in the sweat glands of the eyelids are rare. A case of Eccrine Acrospiroma, otherwise, called clear cell hidradenoma, a benign sweat gland tumour of the lid in a female aged 70 years is being reported because of its rarity.
How to cite this article:
Jagannath C, Sandhya C S, Venugopalachari K. Eccrine acrospiroma of eye lid-A case report. Indian J Ophthalmol 1990;38:182 |
| Case report | |  |
A female patient aged 70 years presented to us on 24-10-1988 with an ulcerative mass of the right lower lid of 8 months duration. The complaint actually started as a small nodule of the right lower lid 1 year back. An excision biopsy was done at a peripheral hospital and was reported as glandular carcinoma. The patient was symptom free for 3 months, when she again noticed a nodular mass in the right lower lid at the site of previous surgery. At the time of presentation she had an ulcerative mass of 1 1/4 x 1 x 0.5 cm in size in the right lower lid. The lateral edge of the ulcer was 4 mm from the lateral canthus. The edges were rolled out. There was no induration or discharge. The mass was fixed to the underlying tarsus. There was no preauricular or submandibular lymphadenopathy. A provisional diagnosis of recurrence of Meibomian carcinoma of the right lower lid was made.
Surgery wad performed on 27-10-1988. A pentagonal resection of the tumour with a 4 mm border of normal tissue surrounding the tumour was done. The lower lid was reconstructed with a Tenzel - type semicircular skin flap and lateral canthotomy and cantholysis. The excised mass was sent for histopathology.
MICROSCOPIC APPEARANCE
The tumour was capsulated and in few areas was communicating with the epidermis. The tumour cells were large, polyhedral with pink cytoplasm and vesicular nuclei. The cells were arranged in sheets and small ducts. Cystic spaces were seen in some areas. The islands are separated by thin fibrous tissue. Within the islands are areas of squamous metaplasia. At the periphery of the tumour lymphocytic infiltration was seen.
Diagnosis : ECCRINE ACROSPIROMA.
| Discussion | | |
Sweat gland tumours, because of the differences in their structure have given rise to much confusion and a wide variety of descriptive terms. These tumours are aptly classified by Anderson. [1]sub Sweat gland tumours as a rule are solitary and benign. Occasionally they may be multiple. Malignant forms are rare. Recurrence in those tumours after excision is due to imperfect removal (20% of cases). [2]sub This may be the reason for the recurrence in this case.
Two cases of mixed tumour of the Moll's gland was reported by Chianu et al [3]sub .(already mentioned earlier.)
| References | | |
| 1. | Kissane . J.M., J.M. 1985, Andersons's Pathology, Vol.2 P. 1635- 1638, The C.V. Mosby Company,St. Louis.  |
| 2. | Duke Elder, S., 1964, System of ophthalmology, Vol. XII, part I p. 458. Henry Kimpton, London. |
| 3. | Chianu et al., Brit. J. Ophthalmol. 68(7) : 502-6 1984. |
[Figure - 1]
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