Arch Aesthetic Plast Surg.  2023 Apr;29(2):119-122. 10.14730/aaps.2022.00752.

Preseptal upper eyelid lipoma: a case report

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Soonchunhyang University College of Medicine, Seoul, Korea
  • 2Department of Pathology, Soonchunhyang University College of Medicine, Seoul, Korea

Abstract

Lipomas are benign soft-tissue tumors that typically progress gradually. In this case report, we describe a 77-year-old woman who presented with a mass on the left upper eyelid. An ophthalmologic examination was normal, and ultrasonography revealed a 1-cm ill-defined mass in the subcutaneous fat layer of the left upper eyelid. The tumor was completely excised surgically, and a histopathological examination showed mature fibro-adipose tissue consistent with a lipoma. The patient had an excellent postoperative prognosis. Even though eyelid lipomas are extremely rare, it is important to carefully examine the integrity of the orbital muscle, orbital septum, and levator aponeurosis. Lipoma should be distinguished from herniated orbital fat or the lacrimal glands in the differential diagnosis of an upper eyelid mass.

Keyword

Eyelids / Eyelid neoplasms / Lipoma / Case reports
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