PMC7762644_01
Preoperative, perioperative, and postoperative images: (a-c) preoperative photographs of patient's right upper eyelid lesion; (d) site of surgical excision postremoval of visible tumor (e) and margins; (f, g) reconstruction of excisional site including performing undermining of the two sides of the excisional site creating a sliding flap; (h) repaired site of surgical excision immediately postoperation.
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Three years later, he presented to the oculoplastics clinic with a 4 mm x 5 mm mass on the lateral right upper eyelid including the canthus, which had subjectively gradually grown over the last year per the patient, without any soreness or drainage of the lesion (Figures 1(a)-1(c)).
Histologic examination of the surgical specimen. Histology slide analysis was consistent with cutaneous mucinous carcinoma, including large pools of basophilic mucin with islands of relatively bland epithelioid cells with abundant cytoplasm. The cells were arranged in nests and duct/glandular-like patterns and could be seen floating within the mucin. Mitotic figures were rare. (a) 2x, (b) 10x, (c) 40x, and (d) 60x.
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Figure 2. Furthermore, tumor cells were immunoreactive for Cytokeratin 7 and GCDFP-15 and negative for Cytokeratin 5/6.