Abstract

To report an uncommon presentation of pilomatrixoma. We report a 72-year-old male attending the ophthalmology outpatient department of a tertiary care center of North India with a painless growth just above his left upper lid at the lateral end of the left eyebrow. He underwent radiological imaging, histopathological examination, and thorough ocular examination which were suggestive of a pilomatrixoma. Pilomatricoma, histologically, is characterized by a mass made up of basaloid cells in the periphery, ghost cells in the central part and calcification, and sometimes ossification. The ghost cells represent necrotic areas of previously vital basaloid cells. The calcification and ossification areas appear progressively in necrotic areas. Ghost cells are pathognomonic of pilomatricoma.

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