BILATERAL TUMOR-LIKE INVASIVE XANTHELASMA PALAPEBRARUM IN THE SUPERIOR PALPEBRA

We describe a very rare case of bilateral xanthelasma. Pathologically, xanthoma cells invaded the dermis, subcutaneous tissues, orbicularis muscle, orbital septum, orbital fat, and palpebral levator. Clinically , diplopia was present. Although considerable improvement was noted in appearance after surgical removal of as much of the tumors as possibl e, an increase in and a recurrence of the remaining tumors were observ ed at a later date following the operation.