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JAMA Facial Plastic Surgery Clinical Challenge
Sept/Oct 2018

Slow-Growing Giant Disfiguring Mass on the Left Side of the Face

Author Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People’s Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
JAMA Facial Plast Surg. 2018;20(5):419-420. doi:10.1001/jamafacial.2018.0566

A woman in her 40s presented for evaluation of a disfiguring facial mass on the left side of her face; the mass had started as a 1-cm subcutaneous nodule on her left upper eyelid at birth and gradually grew to more than 94 cm in length (Figure, A and B). She felt mild discomfort with mastication and denied dysphonia, dysphagia, blurred vision, and any other systemic condition. Her medical history included mild hypertension, and she denied other conditions and infections. There was no medication history, including history of using herbal medicines. Use of alcohol and cigarettes and family history of similar findings were also denied.