Chapter 95 My baby has a lump in the lid
A lump in the lid is common in children either as an isolated finding or as a manifestation of a systemic disease (Table 95.1). The causes are mostly benign, although malignancies need to be considered (Box 95.1).
Rhabdomyosarcoma (see Chapter 24)
Rhabdomyosarcoma is a rapidly progressing malignant tumor, which must be considered in the differential diagnosis of a lid lump in children. Although proptosis is the most common feature of ophthalmic rhabdomyosarcoma, manifestation in the lid can be the presenting finding. The history is typically short: days or weeks, and the tumor often presents before 10 years of age.1,2 The tumor may simulate an inflammatory process or vascular lesions such as capillary hemangioma or lymphangioma.
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