Seongmu Lee, MD; Michael T. Yen, MD; Kimberly G. Yen, MD


September 27, 2011

Clinical Presentation

A 3-year-old girl presented to the clinic for evaluation of a right brow mass. Her parents reported that the lesion was noted approximately 6 months ago and that it was not present at birth. They stated that the eyelid mass had grown in size with associated swelling and redness, followed by improvement without complete resolution. The remainder of the patient's medical and family history was noncontributory.

Examination revealed 2 adjacent, discretely palpable, nontender masses over the right superotemporal orbital rim (Figure). Mild eyelid edema was present with slight erythema directly overlying the masses. On palpation, the lesions were firm, nonmobile, and tethered to the underlying periosteum. Vision was normal with no afferent pupillary defect. No displacement of the globe was found, and the remainder of the examination was otherwise unremarkable.

Figure. Clinical image illustrates 2 adjacent, discretely palpable masses over the right superotemporal orbital rim. Mild eyelid edema was present with slight erythema overlying the masses.

Question 1. What is the most likely diagnosis?

A. Rhabdomyosarcoma
B. Lymphangioma
C. Lymphoma
D. Ruptured dermoid cyst

View the correct answer


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