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Fibrous Hamartoma of Infancy in the Eyelid: A Rare Presentation
Ann Q Tran1, Bradley A Thuro, Daniel M Albert
1*Department of Ophthalmology and Visual Science, University of Wisconsin, Madison School of Medicine and Public Health; †Oculoplastic and Reconstructive Surgery, Department of Ophthalmology, University of Texas MD Anderson Cancer Center; ‡Ophthalmic Pathology, Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison; and §Oculoplastic, Facial Cosmetic and Orbital Surgery, Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, Wisconsin, U.S.A.
Abstract:
A 6-year-old girl presented with a left nodular mass around the punctum. Previous debulking in a similar location at 10 weeks and 8 months of age confirmed fibrous hamartoma of infancy. Pathology at the initial surgery revealed benign-appearing fibroadipose tissue, vasculature, and smooth muscle. Pathologic examination from the third debulking illustrated less fibrous trabeculae extending into increased amounts of mature-appearing adipocytes with collections of immature-appearing fibrocytes. The lesion had slight differences in pathology compared with prior surgical specimens; however, was still consistent with fibrous hamartoma of infancy. No recurrence has been reported since the last surgery.
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