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Fibrolipoma on upper eyelid in child
Rafael Corredor-Osorio1, Nelly Ramos-Pineda1, María Eugenia Orellana2
1Instituto Venezolano de Oftalmología, Barquisimeto (Lara), Venezuela.
Insights
A rare orbital fibrolipoma, a benign tumor, was diagnosed in an 18-month-old infant. This case highlights fibrolipoma as a rare orbital tumor variant, with this being the first pediatric instance reported.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Pathology
Background:
- Orbital tumors are uncommon in infants, necessitating accurate diagnosis and management.
- Fibrolipomas are rare benign tumors, typically presenting as slow-growing masses.
Observation:
- An 18-month-old male infant presented with a rapidly growing right upper eyelid tumor.
- Orbital computed tomography (CT) and magnetic resonance imaging (MRI) revealed a well-circumscribed, low-density mass.
- Histopathologic examination confirmed the diagnosis of fibrolipoma.
Findings:
- Surgical excision via anterior orbitotomy was performed.
- The patient showed no recurrence at a four-year follow-up.
- This represents the fifth reported orbital fibrolipoma case and the first in a pediatric patient.
Implications:
- This case expands the known clinical spectrum of orbital fibrolipomas.
- It underscores the importance of considering rare tumor variants in pediatric orbital masses.
- Early diagnosis and complete excision appear to lead to favorable outcomes.
Abstract:
An 18-months-old male infant presented with a rapidly growing tumor on the right upper eyelid. Orbital computed tomography (CT) revealed a large, well-circumscribed mass with low density signal in the right upper eyelid. Magnetic resonance images (MRI) showed a lesion of mixed T1-signal intensity and high signal intensity in T2-weighted images. The tumor was treated by simple anterior orbitotomy with excisional biopsy, and the diagnosis of fibrolipoma was made by histopathologic examination. There was no evidence of tumor at the four-year follow-up. Fibrolipoma is one of the rare variant of the lipoma and only four cases have been reported in the orbit including the present case. Except for this case all other cases were reported in adults.
