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<p class="ql-align-justify">1- Sections from eyle lid lesion show nfiltrative tumor of parenchyma. This infiltrate almost near completely replaces the glandular tissue (specimen No. 1) with only residual entrapped epithelial islands. It is composed of variable sized nodules separated by thick fibrous bands. These nodules were populated by small and intermediate sized atypical lymphoid cells with scattered few small immunoblasts. Overall picture is consistent with MALT lymphoma complicating a pre-existing lymphoepithelial lesion. This is an indolent lymphoma according to the WHO classification. Confirmatory marker study is recommended (CD20, CD3, CD43, Ki-67).</p><p class="ql-align-justify">2- Sections from axillary mass revealed intact skin with related eccrine and apocrine sweat glands. Deep subcutaneous tissue shows lobules of breast ducts and lobules amid mature adipose tissue. Associated focal periductal mastitis is noted. No evidence of specific granulomas. No evidence of malignancy.</p>
<p>Lt. eyelid mass/cyst, with Rt axillary accessory breast.</p>
<p>Two specimens were received:</p><p>1- Designated as Lt. eyelid infected lipoma ? infected sebaceous cyst?: One skin ellipse measured 1x0.9x0.7 cm, totally embedded.</p><p>2- Designated as Rt axillary accessory breast: Three finrofatty tissue pieces collectivelly measured 4.5x3.5x3 cm, partially covered by skin in an area of 3.5x1.8 cm.</p>
<p><br></p><p><strong><em><u>Lt. Eyelid lesion, excision:</u></em></strong></p><ul><li><strong>Non Hodgkin lymphoma, MALT type, complicating pre-existing lymphoepithelial lesion.</strong></li><li><strong>Recommended for confirmatory maker study.</strong></li></ul><p><strong><em><u>2- Rt. axillary mass, excision:</u></em></strong></p><ul><li><strong>Accessory breast.</strong></li><li><strong>Negative for malignancy. </strong></li></ul>
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