Lidstrichtattoo assoziiert mit Lidkantenbasaliom – Zufall oder Assoziation?

Zusammenfassung

Eine zystische Lidkantenläsion wurde bei Verdacht auf Basaliom exzidiert. Histologisch fand sich neben einem Basalzellkarzinom schwarz-türkisblaues Pigment in der Dermis, betont perivaskulär, sowohl intrazellulär in Makrophagen und Fibroblasten als auch extrazellulär frei im Gewebe vereinbar mit einem Lidstrichtattoo. Typische Gewebereaktionen auf Tattootinte, Meibom-Drüsen-Dysfunktion nach Tattoo am Lidrand sowie Entzündungen von Netzhaut und Aderhaut auf augenferne Tattoos werden diskutiert. Die Assoziation von Lidtumoren und Lidstrichtattoos scheint koinzident.

Abstract

A cystic lesion of the lid margin was excised suspecting basal cell carcinoma. On histology, black-turquoise pigment was seen in the dermis adjacent to the basal cell carcinoma. It was pronounced perivascular, intracellular in macrophages and fibroblasts, but also extracellular as free pigment in the tissue, compatible with an eyelid line tattoo. Typical tissue reactions to tattoo ink, meibomian gland dysfunction after lid margin tattoo, as well as inflammatory reactions in the retina and choroid associated with tattoos distant from the eye are discussed. The correlation of lid tumors and lid margin tattoos seems coincidental.

Schlüsselwörter

Basalzellkarzinom - Lidtumor - Tattoo

Key words

basal cell carcinoma - lid tumor - tattoo

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