A 73-year-old man presented to his physician with right eyelid swelling without pain or discharge. His medical history and a review of systems were otherwise noncontributory. Physical examination showed swelling and induration of the right lower eyelid, without tenderness. The ipsilateral parotid gland and cervical lymph nodes appeared normal. Magnetic resonance imaging of the patient's face and neck showed an enhancing soft-tissue mass along the inferior right eyelid, without underlying bony abnormality or extension into the orbit (Figure 1). A biopsy specimen obtained at an outside hospital was positive for carcinoma. The patient was referred to our institution for treatment.
Warrick JI, Lewis JS, Diaz JA. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2010;136(11):1146. doi:10.1001/archoto.2010.199-a