Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings

Schwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history o...

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Main Authors: Surendra B. Patil, Satish M. Kale, Sumeet Jaiswal, Nishant Khare
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2010-07-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699439
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author Surendra B. Patil
Satish M. Kale
Sumeet Jaiswal
Nishant Khare
author_facet Surendra B. Patil
Satish M. Kale
Sumeet Jaiswal
Nishant Khare
author_sort Surendra B. Patil
collection DOAJ
description Schwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history of slowly enlarging, painless mass in his left upper lid with resultant progressive ptosis. Ocular examination was suggestive of a firm, non-tender nodule of size 2 × 1.5 × 1 cm on the left upper lid. The mass was non-adherent to the skin or the underlying tissue. The eyelid skin and conjunctiva were indurated and signs of inflammation were present. The lateral part of eyelid showed presence of an ulcer and the lid function was severely hampered. Provisional clinical diagnosis was that of an eyelid malignancy. With this in mind, the medial part of the lid was excised and reconstructed using a tarso-conjunctival flap from the lower eyelid in conjunction with a skin graft. The histopathology and immunohistochemistry established the diagnosis of Schwannoma. We recommend that Schwannoma be considered in the differential diagnosis of well-circumscribed eyelid swellings.
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institution Kabale University
issn 0970-0358
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language English
publishDate 2010-07-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series Indian Journal of Plastic Surgery
spelling doaj-art-84c793073d564ebd8e5af86c24918f4d2025-08-20T03:37:47ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2010-07-01430221321510.1055/s-0039-1699439Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellingsSurendra B. Patil0Satish M. Kale1Sumeet Jaiswal2Nishant Khare3Department of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, IndiaDepartment of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, IndiaDepartment of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, IndiaDepartment of Plastic Surgery, Government Medical College, Nagpur, Maharashtra, IndiaSchwannoma is a relatively rare benign tumour of peripheral nerve origin. The occurrence of Schwannoma in eyelid is extremely rare. As per our knowledge, only 11 such cases have been reported in the literature so far. We present a case of a 40-year-old man who presented to us with a 2-year history of slowly enlarging, painless mass in his left upper lid with resultant progressive ptosis. Ocular examination was suggestive of a firm, non-tender nodule of size 2 × 1.5 × 1 cm on the left upper lid. The mass was non-adherent to the skin or the underlying tissue. The eyelid skin and conjunctiva were indurated and signs of inflammation were present. The lateral part of eyelid showed presence of an ulcer and the lid function was severely hampered. Provisional clinical diagnosis was that of an eyelid malignancy. With this in mind, the medial part of the lid was excised and reconstructed using a tarso-conjunctival flap from the lower eyelid in conjunction with a skin graft. The histopathology and immunohistochemistry established the diagnosis of Schwannoma. We recommend that Schwannoma be considered in the differential diagnosis of well-circumscribed eyelid swellings.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699439eyelid tumoursmalignant eyelid tumoursschwannomas-100 protein
spellingShingle Surendra B. Patil
Satish M. Kale
Sumeet Jaiswal
Nishant Khare
Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
Indian Journal of Plastic Surgery
eyelid tumours
malignant eyelid tumours
schwannoma
s-100 protein
title Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
title_full Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
title_fullStr Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
title_full_unstemmed Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
title_short Schwannoma of upper eyelid: A rare differential diagnosis of eyelid swellings
title_sort schwannoma of upper eyelid a rare differential diagnosis of eyelid swellings
topic eyelid tumours
malignant eyelid tumours
schwannoma
s-100 protein
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699439
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AT sumeetjaiswal schwannomaofuppereyelidararedifferentialdiagnosisofeyelidswellings
AT nishantkhare schwannomaofuppereyelidararedifferentialdiagnosisofeyelidswellings