Case Study: January 2012

History

• 25 year old female
• 1/12 history of lower lid fleshy nodule
• See Figure 1
• Removed for histology
• Fig 2 and 3 – H&E
• Fig 4 – MSB stain
• Fig 5 – Cam 5.2
• Fig 6 – alpha inhibin
• Fig 7 – human placental lactogen (hPL)
• Negative for melanocytic, soft tissue and haematological markers

Questions

1. What is the clinical differential?
2. What further history would facilitate the diagnosis?
3. What is the diagnosis?