A case report of tubular apocrine adenoma of lower eyelid

Altieri Michele, Giacomelli F, Anselmi L
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Abstract

Moll glands are sweat apocrine glands close to the eyelid margin. Tumors derived from Moll glands are rare, although Moll glands cysts are frequent. They originate from their glandular tissue or tubules. In this report we present a rare case of a lower eyelid skin tubular apocrine adenoma occurred in the right eye lower eyelid of a caucasian 45 year old woman. The lesion was nodular and dome shaped and its size was 1.5 × 3.5 × 2 mm. After a complete excision the lesion was analyzed by our pathology unit. Histologic sections were stained with haematoxylin and eosin, alcian blue, periodic acid-Schiff (PAS). Additionally, the following immunohistochemical markers were used: cytokeratin 7 (CK7), cytokeratin 8/18 (CK8/18), cytokeratin 20 (CK20), S-100 protein and gross cystic disease protein 15 (GCDFP-15) (4,5). The immunohistochemical and phenotypic features resulted suggest the diagnosis of lower eyelid tubular apocrine adenoma probably originated from Moll glands. These findings allowed us to diagnose a very rare and benign cutaneous lesion of eyelid skin.
下眼睑管状分泌腺瘤病例报告
莫尔腺是靠近眼睑边缘的汗腺。源自莫氏腺的肿瘤很少见,但莫氏腺囊肿却很常见。它们起源于腺组织或腺管。在本报告中,我们介绍了一例罕见的下眼睑皮肤管状分泌腺瘤病例,该病例发生在一名 45 岁白种女性的右眼下眼睑。病变呈结节状、圆顶形,大小为 1.5 × 3.5 × 2 毫米。彻底切除病灶后,病理科对其进行了分析。组织切片用血红素和伊红、藻蓝、周期性酸-Schiff(PAS)染色。此外,还使用了以下免疫组化标记物:细胞角蛋白 7(CK7)、细胞角蛋白 8/18(CK8/18)、细胞角蛋白 20(CK20)、S-100 蛋白和毛囊性疾病蛋白 15(GCDFP-15)(4,5)。免疫组化和表型特征提示下眼睑管状分泌腺瘤的诊断可能源自莫氏腺。这些发现让我们确诊这是一种非常罕见的眼睑皮肤良性病变。
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