ArticleFrontiers in pediatrics2026
Pediatric orbital solitary fibrous tumor/hemangiopericytoma presenting with isolated eyelid edema: a case report.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Orbital solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is an exceedingly rare mesenchymal neoplasm in the pediatric population. While typical orbital tumors present with proptosis or mass effect, the clinical picture can be deceptively indolent, leading to diagnostic delay. Case presentation: A 15-year-old male patient presented with a 2-year history of progressive right upper eyelid edema that had repeatedly been misdiagnosed as conjunctivitis and visual fatigue. Notably, there was an absence of proptosis, visual decline, or ocular motility restriction. Magnetic resonance imaging revealed an extraconal mass posterior to the right globe. The patient underwent lateral orbitotomy with Conclusion: This case underscores that persistent, asymmetric eyelid edema in a child-even in the absence of classic orbital signs-warrants dedicated orbital imaging to exclude space-occupying lesions. Complete surgical resection via lateral orbitotomy provides the definitive diagnosis and effective local control for orbital SFT/HPC.
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