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Periorbital Myofibroma in a Child: A Case Report and Review of the Literature
Benjamin Sim1, Andrew Gal2, Krishna Tumuluri3,4
1Sydney Eye Hospital.
Insights
Infantile myofibroma, a rare benign tumor, typically affects young children. This case highlights an unusual presentation in an 8-year-old boy with a periorbital lesion, emphasizing the need for awareness.
Area of Science:
- Pediatric Oncology
- Ophthalmology
- Dermatopathology
Background:
- Infantile myofibroma is a rare benign tumor predominantly affecting infants and young children.
- While commonly found in the head and neck, orbital involvement is exceptionally rare.
Observation:
- This report details a case of an 8-year-old boy diagnosed with a left upper eyelid myofibroma.
- Diagnosis was confirmed through histopathological and immunochemical analysis.
Findings:
- This represents one of the few reported cases of periorbital myofibroma in pediatric patients.
- The literature review provides an updated overview of periorbital myofibromas.
Implications:
- This case expands the known clinical spectrum of infantile myofibroma.
- Increased awareness may aid in earlier diagnosis and appropriate management of rare periorbital tumors in children.
Abstract:
Infantile myofibroma is a rare benign tumor usually diagnosed before the age of 2 and found in the head and neck but much more rarely in the orbital region. There have only been 7 cases of periorbital myofibromas reported in children in the literature to date. The current case is of an 8-year-old boy with a left upper eyelid myofibroma confirmed on histopathological and immunochemical analysis. A literature review of periorbital myofibromas has been performed to bring the reader up-to-date with the current understanding and management of the disease.

