PMC7849854_01
Per-operative, histopathology and post-operative photographs of a patient with atypical SGC. (a and b) Upper lid mass seen in the peri punctalregion with focal loss of eyelashes, (c) Histopathological photomicrograph showing the typical lobular pattern of SGC with central necrosis, (d) Histopathological photomicrograph section through the canaliculus showing normal structure and no invasion by the tumor cells, *: canalicular lumen, (e and f) Post-operative external photograph showing good cosmesis and contour of the eyelid after reconstruction
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F1
A 27-year-old lady presented to us with a recurrent mass lesion in the left upper eyelid present since a year [Figure 1a]. The overlying skin showed loss of cilia at the eyelid margin and rounding of the posterior eyelid margin [Figure 1b]. Histopathological examination showed tumor consisting of irregular lobules and sheets of cells with central area of necrosis and centrally located nuclei with foamy, multivacuolated cytoplasm, secondary to intracytoplasmic lipid [Figure 1c]. Additional sections through the canaliculus, showed no evidence of tumor cells in the lumen or the epithelium [Figure 1d]. The eyelid margin was intact with a good contour and there was no clinical evidence of recurrence [Figure 1e]. At the last follow up, 24 months post surgery, the patient was noted to be recurrence free clinically, with good eyelid cosmesis [Figure 1f].