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September 1986

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1986;112(9):994-997. doi:10.1001/archotol.1986.03780090090026

PATHOLOGIC QUIZ CASE 1  Warren E. Hagan, MD; J. Kevin Duplechain; Mack Cheney, MD, New OrleansA 35-year-old man presented to Tulane University Medical Center, New Orleans, with a complaint of a fleshy growth over the medial aspects of both upper eyelids. The patient stated that the growth had enlarged in the last two to three months and was painless. There were no other ocular complaints such as dryness, scaling, or itching. Examination of ocular adnexa showed nothing abnormal. He demonstrated a supralateral visual field defect bilaterally. The only significant laboratory finding on admission was a serum cholesterol level of 260 mg/dL (6.72 mmol/L) (normal value for our laboratory, 140 to 300 mg/dL [3.62 to 7.76 mmol/L]). Elliptical blepharoplasty-type incisions were made, with the complete excision of the masses. Photographs of the pathologic specimens are shown in