Dr.MADHUSMITA BEHERA

Abstract

Papillary oncocytoma are uncommon tumors arising within the ductular cell lining of glandular structures.

Oncocytoma of lacrimal or caruncle origins are generally benign, those with orbital involvement may be malignant.

We are reporting a case of papillary oncocytoma, who was managed with surgery without any recurrence on follow up. 50 years old male patient presented to us with two years history of a slowly enlarging, painless, cystic lesion in the right eye lower lid.

On examination the lesion was a painless, pink cystic, circumscribed mass measuring 3mm × 2mm with smooth surface (Figure).

In toto excision of cyst, with very minimal excision of tarsal plate was done under local anesthesia.

Histopathology showed tubulo-papillary architecture in which the constituent polygonal cells had regular vesicular nuclei with abundant, finely granular eosinophilic cytoplasm (Figure).