| A Case of Orbital Angioleiomyoma. |
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Mi Sun Sung, Min Joung Lee, Nam Ju Kim, Ho Kyung Choung, Sang In Khwarg |
1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. khwarg@snu.ac.kr
2Department of Ophthalmology, Seoul National University Bundang Hospital, Gyeonggido, Korea.
3Department of Ophthalmology, Seoul National University Boramae Hospital, Seoul, Korea.
4Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea. |
| 안와에서 발생한 혈관평활근종 1예 |
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성미선1ㆍ이민정1ㆍ김남주2ㆍ정호경3ㆍ곽상인1,4 |
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Department of Ophthalmology, Seoul National University College of Medicine1, Seoul, Korea / Department of Ophthalmology, Seoul National University Bundang Hospital2, Gyeonggido, Korea / Department of Ophthalmology, Seoul National University Boramae Hospital3, Seoul, Korea / Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital4, Seoul, Korea |
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| Abstract |
PURPOSE
To report a rare case of an angioleiomyoma involving the orbit. CASE SUMMARY: A 32-year-old male visited our clinic with pain and decreased visual acuity in the left eye, which had developed 1 month prior to admission. Best corrected visual acuity of the left eye had decreased to 0.7, and 3 mm of proptosis was observed. A 1x1 cm sized soft orbital mass was palpated on the lateral area of the left lower eyelid. Funduscopic examination of the left eye revealed multiple horizontal choroidal folds. On magnetic resonance imaging, a well-demarcated tumor was identified that showed hypointense signal intensity on a T1-weighted scan and hyperintense signal intensity on a T2-weighted scan. We performed anterior orbitotomy with an inferior conjunctival forniceal incision. The tumor was well encapsulated and easily dissected and could be completely removed. Histopathologic examination showed many vascular elements and intervascular fibrous stromas composed of spindle cells. The tumor was classified as angioleiomyoma. CONCLUSIONS: Angioleiomyoma should be considered in the differential diagnosis of a well-circumscribed mass lesion involving the orbit. |
| Key Words:
Angioleiomyoma;Orbit |
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