PMC5015794_01
Frontal (A) and lateral (B). Views pre-operatively showing a right upper eyelid mass. Note that overlying skin is not erythematous, edematous or discolored.
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F1
On physical examination he was found to have a very large tumor, approximately 2x2 cm on the right upper eyelid, there appeared to be no discolorations, erythema, or signs of inflammation, it was a firm mass, and nontender to the palpation (Figure 1 (Fig. 1)).
CT images show a 7.4x23.3 mm-sized low density mass in the upper eyelid of the right orbit (A). T2-weighted magnetic resonance imaging (MRI) presenting a high signal intensity (B).
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F2
T1-weighted images (Figure 2 (Fig. 2)).
Peroperative photograph shows a yellowish-white soft tissue mass.
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F3
The superior visual field was compromised secondary to mechanical ptosis. The patient underwent an uncomplicated anterior orbitotomy through a superior eyelid crease incision and excision of the tumor (Figure 3 (Fig. 3)). The histological examination of the specimen revealed a lesion composed of mature adipose lobes separated by thick dense connective tissue tracts providing the diagnosis of a fibrolipoma (Figure 4 (Fig. 4)).
Microscopy showed a lesion composed of mature adipose lobes separated by thick dense connective tissue tracts (H and E, x20).
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F4
The superior visual field was compromised secondary to mechanical ptosis. The patient underwent an uncomplicated anterior orbitotomy through a superior eyelid crease incision and excision of the tumor (Figure 3 (Fig. 3)). The histological examination of the specimen revealed a lesion composed of mature adipose lobes separated by thick dense connective tissue tracts providing the diagnosis of a fibrolipoma (Figure 4 (Fig. 4)).