Ahmad Fateh Khader, Abdulaziz Fahad A Samandar, Yousof Mohammad Shah
{"title":"Superonasal orbital traumatic neuroma mimicking a dermoid cyst in a young patient: A case report.","authors":"Ahmad Fateh Khader, Abdulaziz Fahad A Samandar, Yousof Mohammad Shah","doi":"10.5339/qmj.2026.48","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Orbital traumatic neuromas are rare lesions that can mimic common orbital pathologies, such as dermoid cysts, particularly in the superonasal region.</p><p><strong>Case presentation: </strong>A 17-year-old female presented with a long-standing, slowly enlarging superonasal orbital mass that had initially been diagnosed as a dermoid cyst. Computed tomography revealed a well-defined, non-enhancing extraconal lesion measuring approximately 3.1×1.5×1.3 cm with associated bone remodeling. Surgical excision revealed a solid, vascular lesion complicated by retrobulbar hemorrhage, which was promptly managed. Histopathological examination confirmed a traumatic neuroma.</p><p><strong>Conclusion: </strong>Traumatic neuroma can mimic a dermoid cyst and should be considered when intraoperative findings are atypical. Definitive diagnosis relies on histopathological examination.</p>","PeriodicalId":53667,"journal":{"name":"Qatar Medical Journal","volume":"2026 2","pages":"48"},"PeriodicalIF":0.0000,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451943/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Qatar Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5339/qmj.2026.48","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Background: Orbital traumatic neuromas are rare lesions that can mimic common orbital pathologies, such as dermoid cysts, particularly in the superonasal region.
Case presentation: A 17-year-old female presented with a long-standing, slowly enlarging superonasal orbital mass that had initially been diagnosed as a dermoid cyst. Computed tomography revealed a well-defined, non-enhancing extraconal lesion measuring approximately 3.1×1.5×1.3 cm with associated bone remodeling. Surgical excision revealed a solid, vascular lesion complicated by retrobulbar hemorrhage, which was promptly managed. Histopathological examination confirmed a traumatic neuroma.
Conclusion: Traumatic neuroma can mimic a dermoid cyst and should be considered when intraoperative findings are atypical. Definitive diagnosis relies on histopathological examination.
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