MacIntosh Peter W, Grob Seanna R, Stagner Anna M, Kazlas Melanie A, Jakobiec Frederick A, Yoon Michael K, Lee Nahyoung Grace
Ophthalmic Plastic Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
J AAPOS. 2016 Feb;20(1):70-3. doi: 10.1016/j.jaapos.2015.08.013.
Infantile myofibromatosis is a rare mesenchymal neoplasm that commonly involves the head and neck but rarely the eyelid. We report the case of a newborn boy referred for evaluation of a left eyelid lesion that occluded the visual axis. Urgent biopsy was performed to evaluate for malignancy. Histopathologic analysis demonstrated myofibroma. Although these lesions have been reported to regress spontaneously, debulking surgery was performed to prevent sensory or anisometropic amblyopia. Follow-up systemic evaluation revealed numerous subcutaneous and deep soft tissue lesions. There was no visceral involvement.
婴儿肌纤维瘤病是一种罕见的间叶性肿瘤,通常累及头颈部,但很少累及眼睑。我们报告了一例因左眼睑病变遮挡视轴而转诊评估的男婴病例。为评估是否为恶性肿瘤进行了紧急活检。组织病理学分析显示为肌纤维瘤。尽管据报道这些病变可自发消退,但仍进行了减瘤手术以预防感觉性或屈光参差性弱视。后续的全身评估发现了许多皮下和深部软组织病变。未发现内脏受累。