PILOMATRIXOMA IN THE MEDIAL CANTHUS OF A 80-YEAR-OLD PATIENT

An 80-year-old lady noticed a painless ''swelling'' in the medial cant hal region 3 months. The tumor showed a reddish color due to a recurre nt superficial bleeding for 2 weeks. Clinically the tumor was supposed to be a super-infected keratoacanthoma. The differential diagnosis in cluded an ulcerative basal cell carcinoma. Excisional biopsy and recon struction using a free graft from the ipsilateral upper lid were perfo rmed. Histopathologically the lesion proved to be a ''benign calcifyin g epithelioma Malherbe'' (pilomatrixoma). Today, 8 years after surgery , there was no recurrence of the tumor. A circumscribed, subepidermal, movable reddish or livid tumor of the upper lid, eye brow or of the c anthal region should be suggestive of pilomatrixoma not only in young females.