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Year : 2008  |  Volume : 56  |  Issue : 6  |  Page : 509-511

A giant upper eyelid ossifying pilomatrixoma

1 Institute of Ophthalmology, Jawaharlal Nehru Medical College, AMU, Aligarh, UP, India
2 Department of Pathology, Jawaharlal Nehru Medical College, AMU, Aligarh, UP, India

Correspondence Address:
Syed AR Rizvi
52, Alig Apartments, Shamshad Market, Aligarh-202 002, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.43377

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Pilomatrixoma of the eyelid is extremely rare in middle age and rarely develops into a large tumor. A 45-year-old female developed a painless, progressive swelling (3.0 cm x 2.0 cm) of the left upper eyelid over a period of two years. Overlying skin was normal in color and texture. A differential diagnosis of dermoid, epidermoid cyst, chalazion and basal cell carcinoma was made. An excisional biopsy was performed. A diagnosis of pilomatrixoma was made on histopathological features (dystrophic calcification of matrix with keratin and foreign body granulomatous reaction, basaloid cells and shadow cells/ghost cells). It also comprises ossification apart from the usual calcification. This is a report of an unusually large ossifying pilomatrixoma in left upper eyelid of a middle-aged woman. The patient should be followed up at regular intervals to rule out any recurrence or malignant transformation.

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