Eyelid Melanoma

An 87-year-old man presented with a stye on his left upper eyelid. Despite conservative interventions, the stye had persisted and the skin had become noticeably darker over several weeks. His risk factors included a history of prolonged sun exposure while working as a lifeguard. An 87-year-old man p...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 375; no. 1; p. 75
Main Authors Marchalik, Rachel J, Venna, Suraj
Format Journal Article
LanguageEnglish
Published Boston Massachusetts Medical Society 07.07.2016
Subjects
Case reports
Eyelid
Melanoma
Risk factors
Skin
Skin cancer
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Summary:An 87-year-old man presented with a stye on his left upper eyelid. Despite conservative interventions, the stye had persisted and the skin had become noticeably darker over several weeks. His risk factors included a history of prolonged sun exposure while working as a lifeguard. An 87-year-old man presented for treatment of a stye on his left upper eyelid. Despite conservative interventions, the stye had persisted and the skin had become noticeably darker over several weeks (Panels A and B). He reported itching but no pain or bleeding. His risk factors for skin cancer included a history of prolonged sun exposure while working as a lifeguard. A biopsy specimen from the margin of the left upper eyelid was obtained and on examination revealed invasive lentigo maligna melanoma, with a Breslow thickness of 0.35 mm, no ulceration, and no mitogenesis (Panel C, Melan-A stain). The patient . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1506399