case_images: PMC11798964_01
case_images: Progression of the subbrow mass over a 30-day timeline. (A) Picture taken 3 weeks after the patient first noticed the skin lesion. A subtly discolored mass under the brow is present. (B) The lesion continued to progress in size, and measured 2.0 x 1.5 cm (C) Preoperative picture where lesion measured 2.5 x 1.0 cm. Ecchymosis and telangiectatic vessels are visible on the lesion. (D) Postoperative month 1 demonstrates resolution of the subbrow mass.
case_images: fopht-05-1503693-g001.jpg
case_images: PMC11798964_01_fopht-05-1503693-g001.jpg
case_images: f1
case_images: The lesion continued to increase in size and the patient subsequently presented to the ED, where he was diagnosed with preseptal cellulitis ( Figure 1A ). Upon presentation to the oculoplastic clinic, the patient was noted to have an erythematous 2.0 x 1.5 cm mass, resulting in mechanical ptosis ( Figure 1B ). He underwent complete excision and biopsy of the lesion, with preservation of skin ( Figure 1C ). At postoperative month 1, the patient was doing well ( Figure 1D ).
case_images: (A) Hematoxylin and Eosin (H&E) stain (x10) showing blue basaloid cells, eosinophilic ghost cells, and transition cells with pyknotic nuclei in between. (B) Islands of eosinophilic anucleated ghost cells (blue arrow) and the basaloid cells they arise from (green arrow) can be visualized (H&E, x40).
case_images: fopht-05-1503693-g002.jpg
case_images: PMC11798964_01_fopht-05-1503693-g002.jpg
case_images: f2
case_images: Histology revealed islands of eosinophilic ghost cells consistent with pilomatricoma ( Figure 2 ).