PMC7566200_01
The mass was palpable in the right lower eyelid, and was movable, non-tender and rounded. (Red Arrow).
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Our physical examination of the patient found a soft, movable, and palpable mass approximately 1 cm in diameter on the right lower eyelid (Fig. 1).
The computed tomography (CT) demonstrated subcutaneous cystic mass lesion on right lower eyelid lesion measuring about 1 cm (Circle, Left). Definite fracture such as blow out fracture or empyema was not identified at this stage and endoscopic sinus surgery was proved by this image. Post endoscopic sinus surgery CT showed large antrostomy with undamaged nasolacrimal duct (Right).
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Computed tomography revealed a 1-cm x 0.7-cm cystic mass in the right lower eyelid region and demonstrated the status after ESS (Fig. 2).
About 1 cm sized cystic mass was found between orbicularis orbital muscle and orbital septum.
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A plastic surgeon performed the surgery and found a graish tan colored lipomatous mass on the right lower eyelid (Fig. 3).
Pathologic image of the mass located in the lower eyelid are gray tan tissue measuring 1.0 x 0.7 cm (H&E stain, x200). The lesion is consistent with xanthogranuloma inflammation with variable sized fat containing pseudocystic granulomas.
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The histological examination found that there were some variable-sized fat-containing pseudocystic granulomas (Fig. 4) and the mass was consistent with xanthogranulomatous inflammation.