Dr. NAREDI SUNIL RAMJIWAN

Abstract

SOLITARY FIBROUS TUMOUR IS A RARE SPINDLE CELL NEOPLASM. INITIALLY IT WAS ASSUMED THAT THESE TUMOURS ORIGINATES FROM MESENCHYME, PREVIOUSLY DESIGNATED AS HEMANGIOPERICYTOMA, BENIGN FIBROUS HISTIOCYTOMA, AND GIANT CELL ANGIOFIBROMA.

A YOUNG MALE OF 45 YRS AGE PRESENTED TO ENT OPD WITH THE COMPLAINTS OF GROWTH NEAR THE UPPER LID, GROWING RAPIDLY OVER THE PAST 3 MONTHS, THIS CASE WAS INITIALLY THOUGHT TO BE A SAC SWELLING BY ENT SURGEON ,CASE REFERRED TO MY OPHTHALMIC OPD FOR FURTHER EVALUATION, IT TURNS OUT TO BE SOFT TO FIRM SOLITARY MASS OVER THE MEDIAL 1/3 OF UPPER LID AND ABOVE THE MEDIAL PALPEBRAL LIGAMENT, NON-TENDER, CYSTIC, ABOUT 1.25CM X 1CM, WITH RESTRICTED MOBILITY, NON-PULSATILE, NO BRUIT. SAC SYRINGING WAS NEGATIVE. MRI REVEALED SOFT TISSUE TUMOR WITH ILL DEFINED HETEROGENEOUSLY ENHANCING SOFT TISSUE LESION. LOOKING AT THE AGGRESSIVE BEHAVIOR UNDER FOLLOW UP FOR ANY RECURRENCE.