A 58-year-old woman presented with a 6-month history of swelling under the lower eyelids. The lesions, which had started as a row of firm, subcutaneous mobile masses, increased in number and size, coalesced, and became adherent to the deeper tissues. The masses eventually caused partial visual obstruction. The patient had undergone a mastectomy 24 months earlier for estrogen and progesterone receptor–positive invasive lobular breast carcinoma and had begun anastrozole therapy. She was also being treated for hypertension, hypercholesterolemia, and type 2 diabetes mellitus.
Kuchel JM, Bowling JC. Bilateral Lower Eyelid Masses—Quiz Case. Arch Dermatol. 2006;142(10):1351-1356. doi:10.1001/archderm.142.10.1351-c