Painless progressive nodular growth in Both the eye since last 4 months. Pt is 20 year old male. Differential diagnosis and treatment. @@@Dr. E Ahmed @Dr. Basant Verma @Dr. Praveen Kumar Singh @Dr. Harshad Gajjar
Keratoacanthoma. The lesion may appear similar to squamous cell cancer, which is a more serious skin condition.. Keratoacanthoma arises from hair follicle skin cells for unknown reasons. Some keratoacanthomas appear to be related to infection with human papillomavirus (HPV), the cause of warts, but the majority of keratoacanthomas are not found to be due to HPV.. The location of many benign and pre-malignant eyelid lesions, such as seborrheic keratosis (SK), actinic keratosis (AK) and Bowen's disease, is related to chronic and direct sun exposure—making their occurrence most typical on the lower eyelids..
The appearance resembles that of papilloma However it is to be differentiated from other pigmented lid tumours Naevi - perhaps they are not, because history is against it; they are present after birth Verrucae from human papilloma virus Basal cell carcinoma- usually lower lid near medial canthus, in middle age or elderly Sebaceous gland carcinoma It is perhaps better to perform excisional biopsy and wait for histopathological report With best wishes!
Keratoacanthoma. The lesion may appear similar to squamous cell cancer, which is a more serious skin condition.. Keratoacanthoma arises from hair follicle skin cells for unknown reasons. Some keratoacanthomas appear to be related to infection with human papillomavirus (HPV), the cause of warts, but the majority of keratoacanthomas are not found to be due to HPV.. The location of many benign and pre-malignant eyelid lesions, such as seborrheic keratosis (SK), actinic keratosis (AK) and Bowen's disease, is related to chronic and direct sun exposure—making their occurrence most typical on the lower eyelids..
Eruptive Kerstacanthoma / Squamous Cell Carcinoma (SSC), / HPV / Xeroderma Pigmentation/ Grazy Bowski/ Intralesional methotrexate (MTX),[29]5-fluorouracil, bleomycin, and steroids have been used with success in patients who are either poor surgical candidates or have lesions not amenable to surgery because of size or location. Mohs Micrograhic Surgical Intervention Required
DD BILATERAL LOWER LIDS KERSTAACANTHOMA BASAL CELL CARCINOMA SABECIOUS CYSTS TRESTMENT BY OCULOPLATIC SURGOEN EXCISIONAL BIOPSY
Blephritis with multiple styes and chalzions with organised pus and crust at two points at lid clean the lid margin wit cetrilak soap debride the crust margin antibiotic eye ointment
DIFFERENTIAL DIAGNOSIS Multiple stye with crust formation Keratocanthoma Papilloma Warts Folliculitis
Multiple chalazia with blepharitis with crust formation at two sites.
Suggestive of "PAPILLOMATOUS GROWTH B/L LOWER EYELIDS." Adv:-Biopsy for Confirmation.
Keratoacanthoma Warts Papilloma Adv : Excision biopsy
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