Abstract
Purpose
To report a rare computed tomography (CT) feature in one case of orbital cavernous hemangioma (OCH).
Methods
Case report. The clinical features, CT findings, and pathological examination are presented.
Results
A 43-year-old Chinese man developed slowly progressive proptosis and decreased vision in his left eye over 13 years. The best-corrected visual acuity was 20/400 OS. Fundus examination showed moderate disc pallor in the left eye. CT scan revealed a 3.7×3.5-cm homogeneous soft tissue mass occupying nearly the whole retrobulbar space. There was focal bone erosion of both the deep lateral orbital wall and deep superior wall. At surgery, a 3.5×3.0×3.3-cm purplish, well-defined, round mass was removed intact without complication. The histopathologic examination proved it to be OCH. One year later, the visual acuity recovered to 20/15.
Conclusion
Patients with OCH may show bone erosion on CT scan, so the presence of bone defect on CT scan should consider the possibility of OCH.
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References
Henderson JW, Farrow GM, Garrity JA (1990) Clinical course of an incompletely removed cavernous hemangioma. Ophthalmology 97:625–628
Jianhua Yan, Zhongyao Wu (2004) Cavernous hemangioma of the orbit: Analysis of 214 cases. Orbit 23:33–40
Ma'luf RN, Khoury NJ, Hadi UM (2000) Bone erosion caused by orbital cavernous hemangioma. Ann Ophthalmol 32:142–143
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The paper was sponsored by the Natural Science Foundation of Guangdong Province, China (036651)
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Yan, J., Li, Y. & Wu, Z. Orbital cavernous hemangioma with bone erosion. Graefe's Arch Clin Exp Ophthalmo 244, 1534–1535 (2006). https://doi.org/10.1007/s00417-005-0188-z
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DOI: https://doi.org/10.1007/s00417-005-0188-z