IP International Journal of Ocular Oncology and Oculoplasty


Eyelid metastasis from breast carcinoma misdiagnosed as chalazion


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Author Details: Abdullah Al-mujaini FRCSC, Buthaina Sabt MD, Saif Bani Oraba MD, Upender Wali MD

Volume : 3

Issue : 1

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 76

Article End Page : 77


Abstract

Metastasis confined to the eyelids represents less than 1% of all eyelid malignant lesions. Approximately 29% -70% of these have the breast as the primary site.
The patient presented with right lower lid swelling of two months duration, initially diagnosed as chalazion, increasing in size despite the conservative measures. Her systemic history revealed an intra-ductal breast carcinoma, staging cT2N2M0, triple negative. She had received two cycles of chemotherapy with partial resolution of breast lesions. She had secondaries in lymph nodes, brain and ovaries. Histopathology confirmed eyelid lesion as malignant.
Eyelid metastasis secondary to breast carcinoma may clinically present as a mass mimicking a benign lesion like chalazion. Appropriate and thorough clinical evaluation supported by imaging and histopathology are key to arrive at the right diagnosis. Metastasis must be considered in the differential diagnosis of an eyelid lesion such as in our case.

Keywords:
Breast; Chalazion; Eyelid; Intraductal carcinoma; Metastasis