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June 1989

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1989;115(6):752-755. doi:10.1001/archotol.1989.01860300106033

PATHOLOGIC QUIZ CASE 1  Richard A. Flaiz, MD; Peter J. Casano; Vinod K. Anand, MD; Winsor V. Morrison, MD, Jackson, MissA 53-year-old man presented for evaluation of eyelid lesions that had been slowly enlarging for up to ten years (Fig 1). They had been asymptomatic for several years but had recently begun to interfere with the patient's vision and to cause a pressure sensation on his eyes. He denied drainage, pain, and dry eyes. The most troublesome lesion was located in the left medial canthus area (Fig 2).Physical examination showed numerous subcutaneous cystic lesions around the patient's eyes, more on the left than the right. He was admitted to the hospital, where excision was performed using local anesthesia. Most of the cysts were removed intact and showed translucent walls with clear fluid. The patient has shown no evidence of recurrence in one year of follow-up.Microscopic pathologic findings

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