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Kissing naevus arising from neural crest cells presenting as upper and the lower lid mass.

Rajput GC, Mahajan D, Chaudhary KP, Deewana V - J Neurosci Rural Pract (2015 Jul-Sep)

Bottom Line: Only 30 patients are reported in the literature.We report a 40-year-old female of rural background who presented with a large painless enlarging pigmented mass, involving both upper and lower left eyelid since the past 20 years.Lesions on the upper lid cause a mechanical ptosis, covers the visual axis, which causes obstruction in vision and is cosmetically unacceptable.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

ABSTRACT
A kissing nevus is a type of congenital compound nevus that affects equal portions of the upper and lower eyelid, and it extends to the lid margins. Congenital divided nevi of the eyelids are a rare melanocytic lesion. Only 30 patients are reported in the literature. We report a 40-year-old female of rural background who presented with a large painless enlarging pigmented mass, involving both upper and lower left eyelid since the past 20 years. Complete excision of the lesion was done, and the mass sent for histopathology, which revealed a compound nevus involving both lids. Surgery removed the obstruction, which had caused decreased visual acuity and had altered the cosmetic appearance of the patient. Lesions on the upper lid cause a mechanical ptosis, covers the visual axis, which causes obstruction in vision and is cosmetically unacceptable. There is a definite risk of malignant change in the nevus giving rise to malignant melanoma, and hence they should be removed as early as possible to give better functional and cosmetic results.

No MeSH data available.


Related in: MedlinePlus

Postoperative photograph after 2 months
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Figure 4: Postoperative photograph after 2 months

Mentions: Histopathological examination of the section showed stratified squamous epithelium showing nests of nevus cells in dermal – epidermal junction. Upper dermis showed nests of round to cuboidal cells with vesicular nuclei, conspicuous nucleoli, moderate cytoplasm with abundant melanin in the stroma. Mid dermis had cords of nevus cells with scant cytoplasm. Histopathological report suggested of a melanocytic compound nevus [Figure 2]. The patient was kept under observation for 4 days, antiseptic dressing was done [Figure 3]. No postoperative complication was present. On her follow-up visit on 10.10.2014 her skin over the lids was normal and healed and VA improved to 6/36 in the left eye [Figure 4].


Kissing naevus arising from neural crest cells presenting as upper and the lower lid mass.

Rajput GC, Mahajan D, Chaudhary KP, Deewana V - J Neurosci Rural Pract (2015 Jul-Sep)

Postoperative photograph after 2 months
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4481803&req=5

Figure 4: Postoperative photograph after 2 months
Mentions: Histopathological examination of the section showed stratified squamous epithelium showing nests of nevus cells in dermal – epidermal junction. Upper dermis showed nests of round to cuboidal cells with vesicular nuclei, conspicuous nucleoli, moderate cytoplasm with abundant melanin in the stroma. Mid dermis had cords of nevus cells with scant cytoplasm. Histopathological report suggested of a melanocytic compound nevus [Figure 2]. The patient was kept under observation for 4 days, antiseptic dressing was done [Figure 3]. No postoperative complication was present. On her follow-up visit on 10.10.2014 her skin over the lids was normal and healed and VA improved to 6/36 in the left eye [Figure 4].

Bottom Line: Only 30 patients are reported in the literature.We report a 40-year-old female of rural background who presented with a large painless enlarging pigmented mass, involving both upper and lower left eyelid since the past 20 years.Lesions on the upper lid cause a mechanical ptosis, covers the visual axis, which causes obstruction in vision and is cosmetically unacceptable.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

ABSTRACT
A kissing nevus is a type of congenital compound nevus that affects equal portions of the upper and lower eyelid, and it extends to the lid margins. Congenital divided nevi of the eyelids are a rare melanocytic lesion. Only 30 patients are reported in the literature. We report a 40-year-old female of rural background who presented with a large painless enlarging pigmented mass, involving both upper and lower left eyelid since the past 20 years. Complete excision of the lesion was done, and the mass sent for histopathology, which revealed a compound nevus involving both lids. Surgery removed the obstruction, which had caused decreased visual acuity and had altered the cosmetic appearance of the patient. Lesions on the upper lid cause a mechanical ptosis, covers the visual axis, which causes obstruction in vision and is cosmetically unacceptable. There is a definite risk of malignant change in the nevus giving rise to malignant melanoma, and hence they should be removed as early as possible to give better functional and cosmetic results.

No MeSH data available.


Related in: MedlinePlus