Eyelid [and orbital] malignant fibrous histiocytoma

ABSTRACT

We report a case of an eyelid malignant fibrous histiocytoma in a 6 year old girl, because the eyelid is an unusual location for a fibrous histiocytoma [whereas it is common in the orbit], and the malignant variety of the tumor is the least frequent. The tumor presented as a painless, rapidly growing mass, causing complete ptosis of the right upper eyelid. Computerized tomography [CT-scan] showed a soft tissue mass in the right upper eyelid, in contact with the globe, and extending, superiorly to the globe, to the adjacent medial orbital wall, and posteriorly to the level of origin of the superior and medial recti muscles. The diagnosis of malignant fibrous histiocytoma was confirmed by histopathological examination. The tumor was treated by wide surgical excision