眼眶胆固醇肉芽肿2例报告。

IF 1.2 Q3 OPHTHALMOLOGY
Mohammad Etezad-Razavi, Farid Shekarchian, Fereshteh Raoufi, Sahel Khazaei
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引用次数: 0

摘要

目的:报告两例罕见的眼眶胆固醇肉芽肿(CG),表现为上睑下垂和突出。方法:1例患者为31岁男性,近一年来表现为左眼进行性上睑下垂;2例患者为35岁男性,5个月前表现为右眼前睑下垂。眼眶计算机断层扫描显示,在第一例的颞上眼眶和第二例的颞上眼眶有一囊性、界限清晰的病变,并伴有相邻的骨侵蚀。结果:两例患者均通过眶前外侧切开入路完全切除肿瘤。组织病理学检查显示纤维结缔组织伴胆固醇间隙,周围有肉芽肿性炎症,符合CG的诊断。术后患者症状得到缓解。结论:眼眶CG是一种罕见的病变,常见于颞上区。糜烂性骨扩张是该病变的特征性表现,可与泪腺恶性肿瘤混淆。因此,在泪腺肿块的鉴别诊断中,必须牢记CG。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Orbital Cholesterol Granuloma: Report of Two Cases.

Orbital Cholesterol Granuloma: Report of Two Cases.

Orbital Cholesterol Granuloma: Report of Two Cases.

Orbital Cholesterol Granuloma: Report of Two Cases.

Purpose: To report two rare cases of orbital cholesterol granuloma (CG) presenting with ptosis and proptosis.

Methods: The first case was a 31-year-old male presented with progressive ptosis of the left eye (LE) during the past year and the second case was a 35-year-old male presented with proptosis of the right eye (RE) for 5 months ago. Orbital computed tomography revealed a cystic well-demarcated lesion in the superotemporal orbit with adjacent bone erosion in the LE of the first case and the RE of the second case.

Results: In both cases, the tumor was excised completely through an anterolateral orbitotomy approach. Histopathological evaluation showed fibroconnective tissue with cholesterol clefts surrounded by granulomatous inflammation consistent with the diagnosis of CG. The symptoms of patients were resolved after surgery.

Conclusions: CG of the orbit is a rare lesion that commonly occurred in the superotemporal area. Erosive bone expansion is the characteristic finding of this lesion that can be mistaken with lacrimal gland malignancies. Hence, it is essential to keep CG in mind in the differential diagnosis of lacrimal gland masses.

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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
45
审稿时长
8 weeks
期刊介绍: Peer Review under the responsibility of Iranian Society of Ophthalmology Journal of Current Ophthalmology, the official publication of the Iranian Society of Ophthalmology, is a peer-reviewed, open-access, scientific journal that welcomes high quality original articles related to vision science and all fields of ophthalmology. Journal of Current Ophthalmology is the continuum of Iranian Journal of Ophthalmology published since 1969.
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