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J Cutan Aesthet Surg. 2016 Apr-Jun;9(2):126-8. doi: 10.4103/0974-2077.184044.

An Unusual Eyelid Mass of Cysticercosis: A Twist in the Tale.

Journal of cutaneous and aesthetic surgery

Poonam J Rai, Akshay Gopinathan Nair, Mihir G Trivedi, Nayana A Potdar, Indumati Gopinathan, Chhaya A Shinde

Affiliations

  1. Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Navi Mumbai, Maharashtra, India.
  2. Department of Ophthalmology, Lokmanya Tilak Municipal Medical College and General Hospital, Navi Mumbai, Maharashtra, India; Department of Ophthalmic Plastic Surgery, Ocular Oncology and Facial Aesthetics, Advanced Eye Hospital and Institute, Navi Mumbai, Maharashtra, India; Aditya Jyot Eye Hospital, Mumbai, Maharashtra, India; Clinico-Pathological Laboratories, Mumbai, Maharashtra, India.
  3. Clinico-Pathological Laboratories, Mumbai, Maharashtra, India.

PMID: 27398015 PMCID: PMC4924410 DOI: 10.4103/0974-2077.184044

Abstract

Cysticercosis is a parasitic infestation caused by the larval form of the tapeworm, Taenia solium (T. solium). The common sites for cysticerosis include the brain, eyes, and skeletal muscle. Ocular or adnexal involvement is commonly seen with the commonest ophthalmic site being subretinal space and the vitreous cavity. However, only a handful of cases of eyelid cysticercosis have been reported in the past. We report a rare and unusual case of isolated eyelid cysticercosis in a middle-aged woman masquerading as an asymptomatic slowly growing subcutaneous painless mass in the left eyelid which was presumed to be a benign skin mass, a cyst of appendageal origin such as an epidermoid cyst. This case highlights the ubiquitous nature of cysticercosis in tropical countries and the need for a high degree of suspicion while surgically treating subcutaneous masses. We would additionally emphasize the need to rule out neurocysticercosis in such cases.

Keywords: Cysticercosis; epidermoid cyst; eye; eyelid; eyelid mass; neurocysticercosis

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