위눈꺼풀 지방종
Eyelid Lipoma
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초록
목적: 드문 종양인 좌안 위눈꺼풀에 발생한 지방종을 경험하였기에 이를 보고하고자 한다. 증례요약: 41세 여자 환자가 2달 전에 발생한 위눈꺼풀 종괴를 주소로 내원하였다. 좌안 위눈꺼풀 널힘줄안와지방으로 추정되는 부위에 단단한 미만성의 종괴가 만져졌고, 염증성 변화는 없었다. 국소마취하에 부분절제생검을 시행하였으며, 눈꺼풀 정상 지방 조직보다 노랗고 단단한 지방덩이가 관찰되었다. 조직병리검사에서 성숙 지방세포의 증식이 관찰되었으며, 지방종으로 진단되었다. 결론: 몸통 및 팔다리에 흔하게 발생하는 지방종이 눈꺼풀에서도 발생 가능하다. 따라서 눈꺼풀에 미만성 종괴가 있을 때 지방종을 감별진단으로 고려하여야 한다. 외과적 부분 절제 및 병리검사를 통해 진단과 함께 치료를 시행할 수 있다.
Abstract
Purpose: To report a rare case of eyelid lipoma. Case summary: A 41-year-old female presented with a palpable mass in her left upper eyelid. Diffuse hard mass was palpable at preaponeurotic fat layer of left upper eyelid, and there was no inflammatory sign. Under local anesthesia, a left upper eyelid mass partial excision was performed and a biopsy specimen was collected. The mass was yellower and harder than surrounding normal eyelid fat. A lipoma was diagnosed based on histopathological findings such as proliferation of mature adipocytes. Conclusions: Lipoma is a benign tumor commonly found around trunk and limbs, but rarely occurs at eyelid. Eyelid lipoma should be considered as a differential diagnosis of diffuse mass at eyelid fat layer. Diagnosis and treatment can be achieved by partial excision and histopathological examination.
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