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Benign Fibrous Histiocytoma of the Eyelid Mimicking Keratoacanthoma

Morris, Sharon R. M.R.C.Ophth., M.R.C.S.Ed.*; DeSousa, Jean-Louis M.B.B.S.*; Barrett, Andrew W. F.R.C.Path.†; Malhotra, Raman F.R.C.Ophth.*

Ophthalmic Plastic & Reconstructive Surgery: January/February 2007 - Volume 23 - Issue 1 - pp 73-75
doi: 10.1097/IOP.0b013e31802dfc7e
Brief Reports

We report a case of benign fibrous histiocytoma (BFH) of the medial canthus that mimicked keratoacanthoma in clinical appearance and growth. Excisional biopsy confirmed the diagnosis of the cellular subtype of benign fibrous histiocytoma. These types of BFH are typically more aggressive in growth, with a high recurrence rate and a tendency to undergo autonomous growth at other sites. The diagnosis of BFH should also be considered among those that appear typical of keratoacanthoma. Similar to other rapidly enlarging eyelid tumors, prompt excisional biopsy is recommended.

A case of benign fibrous histiocytoma (cellular type) of the medial canthus of the eyelid appeared and grew in a manner typical of a keratoacanthoma.

*Corneoplastic Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex, United Kingdom; and †Department of Histopathology, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex, United Kingdom

Accepted for publication July 24, 2006.

Address correspondence and reprint requests to Mr. Raman Malhotra, Corneoplastic Unit, Queen Victoria Hospital, Holtye Road, East Grinstead, West Sussex RH19 3DZ, UK. E-mail: raman.malhotra@qvh.nhs.uk

©2007The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.