Corredor-Osorio Rafael, Ramos-Pineda Nelly, Eugenia Orellana María
Instituto Venezolano de Oftalmología, Barquisimeto (Lara), Venezuela.
Ocular Pathology, Section Pathology Institute Dr. Jose A. O'Daly, Universidad Central de Venezuela, Caracas, Venezuela.
GMS Ophthalmol Cases. 2016 Mar 17;6:Doc03. doi: 10.3205/oc000040. eCollection 2016.
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.
一名18个月大的男婴因右上眼睑出现迅速生长的肿瘤前来就诊。眼眶计算机断层扫描（CT）显示右上眼睑有一个大的、边界清晰的肿块，呈低密度信号。磁共振成像（MRI）显示在T1加权图像上病变信号强度混合，在T2加权图像上呈高信号强度。该肿瘤通过单纯前路眼眶切开术及切除活检进行治疗，组织病理学检查诊断为纤维脂肪瘤。四年随访时未发现肿瘤迹象。纤维脂肪瘤是脂肪瘤的罕见变体之一，包括本病例在内，眼眶内仅报告过4例。除本病例外，其他所有病例均报告于成人。
