GIANT PRESEPTAL UPPER EYELID LIPOMA, A CASE REPORT

Lipomas are fatty subcutaneous lesions. Eyelid lipomas are rarely described and reported. A lipoma

is a painless tumor; however, it may interfere with the eyelid function and cosmetics. The objective

of this study is to illustrate a case of giant preseptal upper eyelid lipoma on the left eye. A 39-year

old man presented with a large painless tumor on the left upper eyelid. It was a slow-growing tumor

that caused mechanical ptosis. The Orbital Multi Sliced Computed Tomography Scan (MSCT

Scan) revealed a hypodense lesion in left periorbital region, well-circumscribed, with no infiltration

into the intraorbital and retrobulbar area. Orbital Magnetic Resonance Images (MRI) showed an

oval lobulated mass, well-circumscribed, slightly isointense at T1, hyperintense at T2, and slightly

hyperintense on FLAIR, which also revealed that the mass was bound firmly with the left superior

orbit. Fine Needle Aspiration Biopsy revealed a C2 Benign smear, indicating a possible Lipoma.

Simple anterior orbitotomy was performed and resulted in the successful removal of the entire

tumor. The diagnosis of Lipoma was based on the histopathological examination results. The

simple anterior orbitotomy that was performed, successfully removed the tumor. There was no

recurrence of tumor after 3 years follow up. To our knowledge, this is the first reported case of a

giant preseptal upper eyelid lipoma.