A 6-year-old girl presented with a left nodular mass around the punctum. Previous debulking in a similar location at 10 weeks and 8 months of age confrmed fbrous hamartoma of infancy. Pathology at the initial surgery revealed benign-appearing fbroadipose tissue, vasculature, and smooth muscle. Pathologic examination from the third debulking illustrated less fbrous trabeculae extending into increased amounts of mature-appearing adipocytes with collections of immature-appearing fbrocytes. The lesion had slight differences in pathology compared with prior surgical specimens; however, was still consistent with fbrous hamartoma of infancy. No recurrence has been reported since the last surgery.
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