Fibrofolliculoma is a benign, perifollicular, connective tissue tumor, which is a clinically asymptomatic, 2-4 mm, skin-colored, dome-shaped smooth papule. It usually arises in the form of multiple lesions, and very rarely presents as a solitary lesion.
A 68-year-old female presented with an asymptomatic, flesh-colored mass on the right upper eyelid. The 5×5×4 mm lesion was located near upper lid margin. It was a skin-colored, dome-shaped, smooth nodule, with eyelashes on the surface, rubbery to palpation and not painful. The lesion was excised completely, and the diagnosis of fibrofolliculoma was confirmed through a histological exam.
Solitary fibrofolliculomas is rarely arising in the eyelid. However, it should be suspected when a localized mass lesion of the eyelid is encountered.