Lymphoepithelioma-like carcinoma (LELC) of the skin is a rare malignant epithelial neoplasm, which resembles histologically the nasopharyngeal neoplasm of the same name.^1,2 Similar tumours have been reported at a variety of sites including salivary gland, tonsil, thymus, stomach, and uterus. Those involving the skin usually present as a papulonodular lesion on the head or neck of patients above 50 years of age. Only one case originating in the eyelid has been previously described.³ We describe a further two cases and discuss the differential diagnosis.

Case 1

A 79 year old man presented with a fusiform swelling occupying the medial half of his right lower lid (fig 1A). This had developed 8 months previously and was gradually increasing in size. An ectropion repair had been performed on this lid 7 years before presentation. The patient underwent excision of the lesion with reconstruction of the lid using a pedicle flap. The excised lesion was submitted for histopathological examination.