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Year : 2023  |  Volume : 16  |  Issue : 1  |  Page : 136-138

A rapidly growing pedunculated pilomatrixoma of the eyelid

1 Department of Ophthalmology, King Abdulaziz University, Jeddah; Department of Oculoplastic, King Khaled Eye Hospital, Riyadh, Saudi Arabia
2 Department of Ophthalmology, King Abdulaziz Medical City, Riyadh, Saudi Arabia
3 Department of Oculoplastic, King Khaled Eye Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Osama Alsheikh
Oculoplastic Department, King Khalid Eye Specialist Hospital, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ojo.ojo_79_22

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A pilomatrixoma is a benign tumor originating from a hair follicle that most frequently occurs in the head-and-neck region. It usually presents as a subcutaneous, slow-growing, nodular, painless firm mass. There are few reported cases on eyelid pilomatrixoma. We reporting an unusual presentation of a rapidly growing pedunculated eyelid pilomatrixoma in a 29-year-old female patient. Surgical excision was performed, and histological examination showed a cavity containing proliferating cords of basaloid cells differentiated into eosinophilic keratinized shadow cells confirming the pilomatrixoma diagnosis. Only a few cases with pedunculated eyelid masses have been reported in the literature; pedunculated lesions can be misdiagnosed as vascular tumors or malignancies. Therefore, pilomatrixoma should be considered in the differential diagnosis of such a presentation. A complete excisional biopsy of the mass is diagnostic and therapeutic.

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