Analysis of clinically suspected orbital cavernomas. Issue 12 (21st May 2010)

• Record Type: Journal Article
• Authors: Wiegand, S; Zimmermann, A P; Eivazi, B; Sesterhenn, A M; Sekundo, W; Bien, S; Werner, J A; Barth, P J
• Is Part Of: British journal of ophthalmology. Volume 94:Issue 12(2010)
• Page Start: 1653
• Page End: 1656
• Publication Date: 2010-05-21
• Subjects: Orbit -- cavernoma -- lymphangioma -- solitary fibrous tumour; Ophthalmology -- Periodicals; 617.7
• DOI: 10.1136/bjo.2009.177147
• Languages: English
• ISSNs: 0007-1161

Abstract

Abstract : Background: Orbital cavernomas are low-flow vascular malformations that are the most common benign neoplasms of the orbit in adults, typically becoming symptomatic in the middle age. Methods: The medical records of six patients with clinically suspected orbital cavernomas receiving elective surgical excision were analysed concerning symptoms, physical findings, treatment results and visual outcome. The pathologic slides were evaluated, and additional immunohistochemical stains were done if necessary to obtain diagnosis. Results: Histologic evaluation revealed three of six cases not being cavernomas, although the clinical and macroscopic findings were consistent with orbital cavernomas. Two of them were haemorrhagic lymphangiomas, and one was a solitary fibrous tumour. Conclusions: Haemorrhagic lymphangiomas and other vascular tumours may mimic orbital cavernomas regarding anamnesis, radiologic and intraoperative findings and gross examination. Therefore, exact histologic evaluation is necessary to get the correct diagnosis.