Congenital benign vascular anomaly resembling a neoplasm that is most frequently noticed in the skin and subcutaneous tissues.
Epidemiology: Girls are most often affected (approximately 70% of all cases). Facial lesions most commonly occur in the eyelids (Fig. 2.25).
Symptoms and diagnostic considerations: The numerous tumors are soft, broad-based, or pediculate, and occur either in the skin or in subcutaneous tissue, usually in the vicinity of the upper eyelid.
They can reach monstrous proportions and present as elephantiasis of the eyelids (Fig. 2.26).
Treatment: Smaller fibromas can be easily removed by surgery. Larger tumors always entail a risk of postoperative bleeding and recurrence. On the whole, treatment is difficult.
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