Jianhua Yan1, Xianggui Wang. 1. Zhongshan Ophthalmic Center, The Section of Ocular Oncology & Orbital Disease, Sun Yat-sen University, 54 Xieli Nan Road, Guangzhou 510060, PR China. Yan2011@tom.com
Abstract
PURPOSE: To report an unusual case of cavernous hemangioma with rapidly developing proptosis. METHODS: Case report. The clinical features, imaging findings and orbital surgery were presented. RESULTS: A 54-year-old man presented with rapidly developing proptosis and a mass in the lower eyelid of his left eye for 8 h. The left eye had 5 mm of proptosis. Color Doppler ultrasonography and computed tomography disclosed a well-defined soft tissue mass in the left anterior orbit, which extended along the floor of the orbit and sized 1.7 x 2.2 cm without bone destruction. An anterior orbitotomy was performed. At surgery a red-purple, well-defined and cone-shaped mass and a hematoma, which was found on the lateral part of the mass, were removed. The histopathological evaluation of the mass revealed cavernous hemangioma. CONCLUSIONS: Patient with a rapidly developing proptosis might have the possibility of orbital cavernous hemangioma.
PURPOSE: To report an unusual case of cavernous hemangioma with rapidly developing proptosis. METHODS: Case report. The clinical features, imaging findings and orbital surgery were presented. RESULTS: A 54-year-old man presented with rapidly developing proptosis and a mass in the lower eyelid of his left eye for 8 h. The left eye had 5 mm of proptosis. Color Doppler ultrasonography and computed tomography disclosed a well-defined soft tissue mass in the left anterior orbit, which extended along the floor of the orbit and sized 1.7 x 2.2 cm without bone destruction. An anterior orbitotomy was performed. At surgery a red-purple, well-defined and cone-shaped mass and a hematoma, which was found on the lateral part of the mass, were removed. The histopathological evaluation of the mass revealed cavernous hemangioma. CONCLUSIONS:Patient with a rapidly developing proptosis might have the possibility of orbital cavernous hemangioma.