Metastatic lid disease

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Abstract
Metastatic lid disease is a rare cutaneous occurrence presenting as diffuse lid swelling or a localized nodule. The breast in women, the gastrointestinal and respiratory systems in men constitute the commonest primary sites. Lid spread usually occurs late but may occasionally be the first sign of metastasis. The case of a 60-year-old man with upper lid retraction secondary to metastatic adenocarcinoma of unknown origin is presented.