IJRR

International Journal of Research and Review

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Case Report

Year: 2023 | Month: February | Volume: 10 | Issue: 2 | Pages: 1-6

DOI: https://doi.org/10.52403/ijrr.20230201

Case Report: Nevus-Melanoma Misdiagnosis in Seborrheic Keratosis of the Eyelid

I G. N. A. Wisnu Kresnan Dana1, Ni Nyoman Triharpini2, Ida Bagus Caka Gunantara3

1Department of Ophthalmology Mangusada Hospital, Badung, Bali, Indonesia
2Department of Ophthalmology Mangusada Hospital, Badung, Bali, Indonesia
3Department of Anatomical Pathology Mangusada Hospital, Badung, Bali, Indonesia

Corresponding Author: I G. N. A. Wisnu Kresnan Dana

ABSTRACT

Seborrheic keratosis is a benign tumor originating from keratinocytes. In this case, a 51-year-old woman with a lump on the left upper eyelid that was growing rapidly, accompanied by itchiness since 1 month. The lumps appeared to be blackish brown, with uneven edges that clinically similar to nevus and malignant melanoma lesions. To rule out the possibility of a nevus, malignant melanoma and other malignancies, excisional biopsy was performed as a diagnostic and treatment management. The similar clinical appearance between benign and malignant lesions is a consideration in performing an excisional biopsy. Histopathological examination in this case, confirmed the diagnosis of seborrheic keratosis as a gold standard that will determine further management.

Keywords: Seborrheic keratosis, nevus, malignant melanoma, misdiagnosis

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