title: Multiple soft fibromas of the lid.
abstract: Fibromas are benign tumors that are composed of fibrous or connective tissue. They can grow in all organs, arising from mesenchymal tissue (a type of loose connective tissue). The term "fibroblastic" or "fibromatous" is used to describe tumors like the fibroma. This 69-year-old male presented to us with giant, multiple, very slowly progressive, painless, noninflammatory, soft, trans-illuminant, pedunculated lid swellings with a two decade history. There were no other swellings on the body. He was clinically normal on systemic examination except for the immature cataracts in both eyes. The diagnosis was confirmed on histopathology. Simple excision removed all the soft fibromas virtually leaving no scar. A review of literature world-wide using Medline Plus/PubMed revealed this to be the only reported case of multiple giant soft fibromas of the lid.
authors.affiliation: Professor, Department of Ophthalmology, Al Azhar Medical College, Thodupuzha and Consultant Ophthalmologist, Bishop Vayalil Medical Centre, Moolamattom, Kerala, India.
authors.forename: Manuel
authors.initials: M
authors.lastname: John
authors.forename: Sarah
authors.initials: S
authors.lastname: Chirayath
authors.forename: Smitha
authors.initials: S
authors.lastname: Paulson
mesh_terms: D000368:Aged; D005142:Eyelid Neoplasms / Q000175:diagnosis*; D005143:Eyelids / Q000473:pathology*; D005350:Fibroma / Q000175:diagnosis*; D006801:Humans; D008297:Male