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Journal of Case Reports
Giant Upper Eyelid Schwannoma with Total Upper Lid Reconstruction
Salil Kumar Mandal1, Aparna Mandal2, Biplab Kumar Biswas3
From the Department of Ophthalmology1, Regional Institute of Ophthalmology, Medical College & Hospital, Kolkata; Department of  Physiology2, College of  Medicine & Sagore  Dutta Hospital, Kolkata; Department of  Pathology3, Bankura Sammilani Medical College,  Bankura, West Bengal, India.
Corresponding Author:
Dr. Salil Kumar Mandal
Email: salil_dum@live.com
Received: 15-JUN-2014 Accepted: 05-JUL-2014 Published Online: 30-JUL-2014
DOI: http://dx.doi.org/10.17659/01.2014.0070
Abstract
Schwannoma is a slowly growing, asymptomatic, benign neoplasm. It arises from neuroectodermic origin of Schwann cells present in the myelinated peripheral nerve sheath. However, its location in eyelid is rare. A 72 years old woman was referred to us with one and half years history of painless, progressively increasing size of large tumour mass originating from left upper lid. It was horizontally situated, approximately 4 cm/3 mm in both horizontal and vertical  dimension. For the last one year, it was  growing rapidly. Patient was unable to open his eyelid and had associated ptosis. Various differential diagnosis considered were fibroma, epidermal inclusion cyst, solitary neurilemmoma. We planned complete excision biopsy of the mass with 3 mm clear margin followed by histopathological examination. Principal of Cutler Beard procedure were applied with some modification for complete excision of the mass followed by total upper lid reconstruction.   Mass was succesfully removed and histopathology report shows eyelid schwannoma with strong reactivity to S100 protein by immunohistochemistry. No recurrence was noted at one year followup.
Keywords : Eyelids, Neurofibroma, Neurilemmoma, Blepharoptosis, Cysts, Immunohistochemistry.
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