title: Giant molluscum contagiosum presenting as lid neoplasm in an immunocompetent child.
abstract: A three-year-old boy presented to our oculoplastic clinic with complaints of painless gradually increasing right upper lid mass for the last 6 months. On examination a firm mass measuring roughly 1x1 cm was present on the upper lid. The mass was non tender with fine superficial vessels running over it. A differential diagnosis of epidermoid cyst, vascular malformation, pilomatrixoma, and juvenile xanthogranuloma was considered. The patient underwent excisional biopsy of the mass. On gross examination the mass had a brain like appearance. Histopathological examination confirmed the diagnosis of molluscum contagiosum. It is rare for molluscum contagiosum to present as a solitary lid tumor. A brain like appearance of the excised mass can provide a clue towards the diagnosis.
authors.affiliation: Medical Research Foundation, Sankara Nethralaya, Chennai.
authors.forename: Md Shahid
authors.initials: MS
authors.lastname: Alam
authors.forename: Neha
authors.initials: N
authors.lastname: Shrirao
mesh_terms: D000914:Antibodies, Viral / Q000032:analysis; D002675:Child, Preschool; D062109:Dermatologic Surgical Procedures / Q000379:methods; D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000175:diagnosis*; D005143:Eyelids / Q000473:pathology* / Q000601:surgery / Q000821:virology; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008976:Molluscum Contagiosum / Q000175:diagnosis* / Q000601:surgery; D008977:Molluscum contagiosum virus / Q000276:immunology; D017193:Skin Diseases, Viral / Q000175:diagnosis* / Q000601:surgery
chemical_list: D000914:Antibodies, Viral