case_images: PMC5015794_01
case_images: Frontal (A) and lateral (B). Views pre-operatively showing a right upper eyelid mass. Note that overlying skin is not erythematous, edematous or discolored.
case_images: OC-06-03-g-001.jpg
case_images: PMC5015794_01_OC-06-03-g-001.jpg
case_images: F1
case_images: 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)).
case_images: 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).
case_images: OC-06-03-g-002.jpg
case_images: PMC5015794_01_OC-06-03-g-002.jpg
case_images: F2
case_images: T1-weighted images (Figure 2 (Fig. 2)).
case_images: Peroperative photograph shows a yellowish-white soft tissue mass.
case_images: OC-06-03-g-003.jpg
case_images: PMC5015794_01_OC-06-03-g-003.jpg
case_images: F3
case_images: 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)).
case_images: Microscopy showed a lesion composed of mature adipose lobes separated by thick dense connective tissue tracts (H and E, x20).
case_images: OC-06-03-g-004.jpg
case_images: PMC5015794_01_OC-06-03-g-004.jpg
case_images: F4
case_images: 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)).