Eyelid fibrous hamartoma with conjunctival angioma in an infant.

Eyelid lesions are frequently seen in healthy infants. Common diagnoses include viral papilloma, chalazion, molluscum contagiosum, epithelial inclusion cyst, dermoid cyst, and capillary hemangioma. Less frequently recognized eyelid tumors consist of pilomatrixoma, apocrine hidrocystoma, pseudoepitheliomatous hyperplasia, neurofibroma, and choristoma. Characteristics of specific lesions, such as the presence of inflammation, overlying skin discoloration, and mass depth, are often useful in determining a clinical diagnosis. Fibrous hamartoma of infancy is a benign soft tissue tumor that usually develops in the first 2 years of life and is not distinctive clinically. It has been reported most commonly in the axilla, abdomen, buttock, chest, and shoulder. We provide the first reported case, to our knowledge, of an eyelid fibrous hamartoma.