title: [Medial canthus pilomatrixoma in an 80-year-old patient].
abstract: An 80-year-old lady noticed a painless "swelling" in the medial canthal region 3 months. The tumor showed a reddish color due to a recurrent superficial bleeding for 2 weeks. Clinically the tumor was supposed to be a super-infected keratoacanthoma. The differential diagnosis included an ulcerative basal cell carcinoma. Excisional biopsy and reconstruction using a free graft from the ipsilateral upper lid were performed. Histopathologically the lesion proved to be a "benign calcifying epithelioma Malherbe" (pilomatrixoma). Today, 8 years after surgery, there was no recurrence of the tumor. A circumscribed, subepidermal, movable reddish or livid tumor of the upper lid, eye brow or of the canthal region should be suggestive of pilomatrixoma, not only in young females.
authors.affiliation: Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg.
authors.forename: B
authors.initials: B
authors.lastname: Seitz
authors.forename: L M
authors.initials: LM
authors.lastname: Holbach
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000473:pathology / Q000601:surgery*; D005143:Eyelids / Q000473:pathology; D005260:Female; D006801:Humans; D018296:Pilomatrixoma / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps
vernacular_title: Lidwinkel-Pilomatrixom bei 80jähriger Patientin.