Orbital and Intraocular Myofibroblastoma. (7th January 2014)

• Record Type: Journal Article
• Authors: Costin, Bryan R.; Plesec, Thomas P.; Rubinstein, Tal J.; Medina, Carlos A.; Singh, Arun D.; Goldblum, John R.; Perry, Julian D.
• Is Part Of: Orbit. Volume 33:Number 3(2014)
• Page Start: 202
• Page End: 205
• Publication Date: 2014-01-07
• Subjects: Combined intraorbital -- intraocular tumor -- myofibroblastoma -- spindle cell lipoma -- spindle cell tumor -- solitary fibrous tumor; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.3109/01676830.2013.871301
• Languages: English
• ISSNs: 0167-6830

Abstract

Abstract: A 66-year-old woman presented with a blind, painful, hypertensive, and proptotic left eye. Computed tomographic imaging revealed a well-circumscribed mass involving the left orbit and globe. Metastatic work-up failed to reveal extraorbital lesions and the tumor was removed in toto via an evisceration approach orbitotomy. Histopathology and immunohistochemistry were most consistent with mammary-type myofibroblastoma with fascicles of bland, uniform spindle cells that stained positive for desmin and CD34. We are not aware of previous reports of orbital or ocular myofibroblastoma. This neoplasm has not been shown to recur, undergo malignant transformation, or metastasize. Familiarity with its clinical, histopathologic, and immunohistochemical features may improve diagnostic accuracy and treatment decisions for patients presenting with similar findings.