Inverted Follicular Keratosis of the Lower Eyelid—A Diagnostic Conundrum

IFK can clinically and histologically resemble SCC, particularly in limited biopsy samples. Surgical excision with appropriate margin clearance and functional eyelid reconstruction ensures both curative and functional outcomes. Awareness of this benign entity and recognition of its distinguishing histopathological features are crucial to avoid overtreatment and to ensure appropriate patient management. Complete excision remains the treatment of choice and has excellent prognosis.

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Publication Details

Journal
Annals of Plastic Surgery
Published
2025-09-01
DOI
https://doi.org/10.1097/sap.0000000000004471
Primary Topic
Cancer and Skin Lesions
Type
article
Field-Weighted Citation Impact
0.00
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article

Inverted Follicular Keratosis of the Lower Eyelid—A Diagnostic Conundrum

Joseph Thomas, Harshavardhan Shetty, Swathi Prabhu, Kanthilatha Pai et al.
Annals of Plastic Surgery
Cancer and Skin Lesions
article

Inverted Follicular Keratosis of the Lower Eyelid—A Diagnostic Conundrum

Joseph Thomas, Harshavardhan Shetty, Swathi Prabhu, Kanthilatha Pai, Premal A. Patel, T.S. Chandrasekhara Rao, Anuradha Calicut Kini Rao
article en

Abstract

IFK can clinically and histologically resemble SCC, particularly in limited biopsy samples. Surgical excision with appropriate margin clearance and functional eyelid reconstruction ensures both curative and functional outcomes. Awareness of this benign entity and recognition of its distinguishing histopathological features are crucial to avoid overtreatment and to ensure appropriate patient management. Complete excision remains the treatment of choice and has excellent prognosis.

Annals of Plastic SurgeryVol. 95(3S)
Manipal Academy of Higher Education (IN), Kasturba Medical College, Manipal (IN)
Openalex Percentile: Top 57%
Cancer and Skin Lesions
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