A case report of eyelid pilomatrixoma: A rare presentation

Abstract

Pilomatrixoma is a rare periocular benign tumor involving hair follicle matrix cells. It presents as a hard, painless, and gradually enlarging mass. It is more common in Caucasians, has bimodal age distribution (5–15 years and 50–65 years) and with female preponderance. We present a rare case report of a 35-year-old Indian male presenting with progressively enlarging; noninflammatory mass in the left upper eyelid for which excision biopsy was performed and a diagnosis of pilomatrixoma was arrived at. The main differential diagnosis includes chalazion and it is vital to distinguish them prior to any surgical intervention as both have different lines of management. This article also deals with the clinical as well as histopathological features and syndromic association of pilomatrixoma along with a brief mention of its malignant variation. This case report also includes intraoperative photographs of the lesion which the authors could not find during literature search.