Unusual presentation of epidermal inclusion CYST: A case report

We report a case of a 8 year old girl who presented with painless progressive mass of the right upper lid that had been present after having a trauma at the age of 1 year with cricket ball and had slowly enlarged over period of 7 years. The mass had no signs of inflammation, tissue breach or central punctum. The mass was of cystic consistency with sharp well defined margin and freely movable not adherent to underlying structure measuring about 1-1.5cm in size. The mass was initially at centre of upper lid and had gradually moved to superotemporal region of upper lid that was completely excised and found to be a Epidermal Inclusion Cyst on histopathological examination. The presence of Epidermal Inclusion cyst at a site with no breach of tissue at the time of trauma and no punctum over the mass at the time of presentation is unusual, hence the purpose of our case report. Therefore it is important to consider Epidermal Inclusion Cyst in the differential diagnosis of eyelid lesions in children with atypical presentation.