Verrucous carcinoma: a rare tumor of the eyelid.
A 72-year-old gentleman presented with a left upper eyelid mass existing for several years but progressively increased in size over 2 weeks. Clinically the 1.5 × 1-cm firm, pigmented and sessile mass resembles a large wart. Excisional biopsy of the mass reveals a diagnosis of verrucous carcinoma. Verrucous carcinoma rarely occurs in the eyelid, and this is the first reported case of its occurrence in an Asian patient. As its appearance simulates that of a wart, it may be mistaken as the latter. Deep excisional biopsy is required in differentiating the two. Although being rare, ophthalmologists have to be aware of the diagnosis to avoid missing this potentially curable malignant lesion in patients presenting with eyelid tumors.
Mak
Shiu Ting
ST
Department of Ophthalmology, Caritas Medical Centre, Shamshuipo, Kowloon, Hong Kong. dr.makst@gmail.com
Io
Ida Yu-Fong
IY
Tse
Raymond Kwok-Kay
RK
D000368:Aged; D001706:Biopsy; D018289:Carcinoma, Verrucous / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D014860:Warts / Q000473:pathology