J Korean Ophthalmol Soc > Volume 55(5); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(5):750-754.
DOI: https://doi.org/10.3341/jkos.2014.55.5.750    Published online May 15, 2014.
A Case of Idiopathic Sclerosing Inflammatory Tumor Located in the Medial Side of Both Upper Eyelids.
Jung Yup Kim, Soo Jung Lee
Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. Kris9352@hanmail.net
양안의 비측 상안검에 발생한 특발성 경화성 염증성 종양 1예
김중엽⋅이수정
Department of Ophthalmology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea
Abstract
PURPOSE
To report a case of idiopathic sclerosing inflammatory tumor presenting as painful masses in the medial side of both upper eyelids. CASE SUMMARY: A 26-year-old female presented with pain in both eyes at upward gaze and progressive medial side masses on bilateral upper eyelids 3-4 months prior. Orbit MRI showed an orbital benign tumor and partial excisional biopsy was performed for the larger right upper eyelid mass. The biopsy result was chronic inflammation with fibrosis. There was no change in the masses size after an oral steroid was prescribed for 11 days. At 6 weeks after the first operation, complete excisional biopsy was performed for the bilateral upper eyelid masses and idiopathic sclerosing inflammatory tumor was diagnosed. Intravenous steroid injections were administered twice with a 1-week interval postoperatively. After 6 months of follow-up, no recurrence was evident. CONCLUSIONS: Idiopathic sclerosing inflammatory tumor usually involves the anterior, lateral, or apex of the unilateral orbit and does not invade the inferomedial side of the orbit and typically has a chronic course. We experienced a rare case of idiopathic sclerosing inflammatory tumor that involved the medial side of both upper eyelids which was cured by complete excision.
Key Words: Both eyelids;Chronic inflammation;Fibrosis;Idiopathic sclerosing inflammatory tumor


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