Letters to the editor
Microcystic adnexal carcinoma masquerading as a chalazion
| The first 150 words of the full text of this article appear below. |
EDITOR,
Microcystic adnexal carcinoma (MAC) is a
locally aggressive cutaneous tumour first described by Goldstein
et al in 1982.1 This tumour has a
predilection for the face2 3 with only a few cases
reported involving the periocular region.4-6 It is a low
grade tumour of eccrine sweat gland derivation which behaves
aggressively in its growth pattern and recurrence rate. It has also
been known as a sclerosing sweat duct carcinoma (SSDC). We report a
case of MAC initially masquerading as a benign chalazion.
CASE REPORT
A 66 year old white woman attended the accident and emergency
department at the Western Eye Hospital with a 2 week history of red
sore eyes. Bilateral blepharitis was diagnosed and a chalazion noted at
the medial end of the left lower eyelid, adjacent to the punctum. The
only unusual comment made was that the chalazion had "granulation
tissue" on its conjunctival surface.
The blepharitis was
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