A 75-year-old female with no systemic illness presented with complaints of a gradually progressive painless mass in the right upper lid for 2 months duration. She has no complaints of irritation or redness, and there is no history of trauma prior to onset of the swelling. Her BCVA right eye is CF 3m and left eye 6/6. On examination, the right eye upper lid showed a cystic, pedunculated swelling 8 × 9 × 3 mm Fig. 1 attached 2 mm in front of the right upper lid margin and was transilluminant Fig. 2. There was immature cataract in the right eye, and the rest of the eye findings are normal. Excision biopsy of the swelling was done and was diagnosed as fibroepithelial polyp Fig. 3.Figure 1: Pedunculated mass upper eye lidFigure 2: Transillumination of the eyelid massFigure 3: Histopathology of the specimen stained with hematoxylin and eosin, 10× magnification showing polyp covered by stratified squamous lining with loose connective tissue stroma showing congestion and inflammation, features consistent with cutaneous fibroepithelial polypFibroepithelial polyps are benign nonepithelial tumors arsing from mesodermal tissue and are commonly found on the skin. The etiology may be trauma, chronic irritation, and allergic factors. Pedunculated lesions may become twisted and infarcted.1 Only on rare occasions, histopathological examination reveals malignant transformation.2 Authors contributions DK: concept, literature search and manuscript editing; Ashley Ann Varughese: Evaluation of histopathology of the lid mass. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the parent has given his consent for their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil. Conflicts of interest: There are no conflicts of interest.
Kishan et al. (Thu,) studied this question.