Massive Recurrent Chalazion With Anterior Orbital Extension.
A 14-year-old girl developed a large, asymptomatic lump on the right lower eyelid a few weeks after chalazion excision. MRI showed a very large, elliptical, postseptal lesion 1.8 × 14.1 × 21.2 mm which intensified homogeneously with gadolinium. The patient underwent orbital biopsy of the lesion using a swinging eyelid approach. A dense, solid, nondraining encapsulated lesion was palpated and separated from the surrounding tissue. Histopathologic diagnosis was a granulomatous chalazion.
Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.
Arie Y
AY
Nemet
D000293:Adolescent; D001706:Biopsy; D017043:Chalazion / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005143:Eyelids / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009915:Orbit / Q000000981:diagnostic imaging*