Fifteen year natural history of lower eyelid syringocystadenoma papilliferum in a young girl

Abstract

An 8-year-old girl presented in 2005 with painless pinkish papules affecting the medial lower eyelid, first noted at the age of one and slowly enlarging. An incisional biopsy revealed features of syringocystadenoma papilliferum. As the lesion was cosmetically acceptable (Fig. 1) she was treated conservatively in 2006 by observation only [1]. As predicted the lesion increased in size with the onset of puberty (Fig. 2) and at the age of twelve a shave excision biopsy was performed which excluded malignant transformation. Four years later, at age sixteen the lesion has not increased in size (Fig. 3).