RESUMO
CASE REPORT: The eyelid is an unusual site for metastasis. We report a case of hepatocellular carcinoma in which eyelid lesions were the presenting sign of metastatic disease. This 76-year-old female patient presented with a recent history of a chalazion of her right upper and lower eyelids. Biopsy of 1 lesion showed moderately differentiated metastatic hepatocellular carcinoma. She had been diagnosed with hepatocellular carcinoma 15 months previously and had no evidence of metastasis up to that point. COMMENT: Eyelid lesions are rarely the initial manifestation of metastatic disease. This report and literature review of metastatic eyelid disease underscore the importance of considering metastasis in the differential diagnosis of eyelid lesions.
Assuntos
Carcinoma Hepatocelular/secundário , Neoplasias Palpebrais/secundário , Neoplasias Hepáticas/patologia , Idoso , Blefaroplastia/métodos , Carcinoma Hepatocelular/cirurgia , Diagnóstico Diferencial , Neoplasias Palpebrais/cirurgia , Evolução Fatal , Feminino , Seguimentos , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/secundário , Tomografia Computadorizada por Raios XRESUMO
PURPOSE: To describe an unusual case of latent syphilis that presented with postoperative inflammation. METHODS: Case report. RESULTS: A 62-year-old African American woman developed persistent postoperative inflammation following cataract surgery. Despite a regimen of topical corticosteroid, the inflammation did not settle. A uveitic workup indicated that the patient had latent syphilis. She was referred to Infectious Disease and the inflammation resolved with intravenous penicillin. CONCLUSIONS: Postoperative inflammation has not previously been reported as the first sign of latent syphilis. This report underscores the importance of considering syphilis in the differential diagnosis of chronic inflammation, including the postoperative period.