Nodular fasciitis of the lower eyelid in a pediatric patient

Purpose: To describe a 14-year-old boy with a 1-month history of a rapidly growing, nontender, lower eyelid mass. Methods: The specimen was studied using light microscopy. Results: Although magnetic resonance imaging suggested a chronic vascular l esion, histopathologic analysis after excisional biopsy was consistent with nodular fasciitis. Conclusions: Nodular fasciitis is a relatively common soft-tissue lesion an d represents a benign, reactive process. Lesions in the head and neck devel op more frequently in children and adolescents than in adults, but periorbi tal lesions are uncommon. This is the first reported case of nodular fascii tis of the lower eyelid in a pediatric patient.