Wilson Mary Kate, Goldberg Elizabeth, Fantin Aldo, Erdag Gulsun
Department of Ophthalmology, University of Florida, Gainesville, Florida.
North Florida / South Georgia Veterans Health System, Gainesville, Florida.
Digit J Ophthalmol. 2024 Dec 31;30(4):70-74. doi: 10.5693/djo.02.2024.06.005. eCollection 2024.
Spindle cell lipomas are slow-growing, benign tumors composed of bland spindle cells, adipocytes, and collagen bundles. They are typically found on the posterior neck, shoulder, or upper back. Spindle cell lipomas represent only a small percentage of reported lipomatous tumor types. We report the case of a 90-year-old white man who presented with a solid mobile lesion on his right upper eyelid. Histopathological and immunohistochemical analysis of the lesion led to a diagnosis of a "low-fat," intradermal, spindle cell lipoma. This case underscores the importance of considering spindle cell lipoma in the differential diagnosis for atypical eyelid lesions.
梭形细胞脂肪瘤是一种生长缓慢的良性肿瘤，由形态温和的梭形细胞、脂肪细胞和胶原束组成。它们通常出现在后颈部、肩部或上背部。梭形细胞脂肪瘤在已报道的脂肪瘤类型中仅占一小部分。我们报告了一例90岁白人男性患者，其右上眼睑出现一个实性可移动肿物。对该肿物进行组织病理学和免疫组化分析后诊断为“低脂”型真皮内梭形细胞脂肪瘤。该病例强调了在非典型眼睑病变的鉴别诊断中考虑梭形细胞脂肪瘤的重要性。
