Intramuscular Hemangioma of Lateral Rectus Muscle with Rare Presentation as an Epibulbar Mass: A Case Report and Review of Literature.

Autor: Nag A; Ocular Oncology Service, Department of Ophthalmology and Visual Sciences, Princess Margaret Cancer Centre/University Health Network, University of Toronto, Toronto, ON, Canada., Krema H; Ocular Oncology Service, Department of Ophthalmology and Visual Sciences, Princess Margaret Cancer Centre/University Health Network, University of Toronto, Toronto, ON, Canada., Kamil ZS; Department of Diagnostic and Molecular Pathology, University of Toronto, Toronto, ON, Canada.; Department of Laboratory Medicine and Pathobiology, University Health Network, Toronto, ON, Canada., Al-Mbaideen S; Department of Diagnostic and Molecular Pathology, University of Toronto, Toronto, ON, Canada.; Department of Laboratory Medicine and Pathobiology, University Health Network, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: Case reports in oncology [Case Rep Oncol] 2024 Jul 10; Vol. 17 (1), pp. 712-716. Date of Electronic Publication: 2024 Jul 10 (Print Publication: 2024).
DOI: 10.1159/000539720
Abstrakt: Introduction: Intramuscular hemangiomas of extraocular muscles are extremely rare tumors that usually present as retro-orbital masses causing proptosis. We describe a previously unreported presentation, in the form of an epibulbar mass; this easily accessible location allows direct imaging, complete surgical resection, and histopathological confirmation, providing a unique perspective.
Case Presentation: A 69-year-old woman presented with a painless dark red mass in the lateral part of the right eye, which had been slowly enlarging over the last 18 months. Clinical features and imaging were suggestive of a benign vascular tumor of the conjunctiva. During surgical resection, the mass was observed to be enmeshed within the fibers of the lateral rectus muscle. Careful dissection from muscle fibers was needed for complete excision. Histopathology revealed the diagnosis of an intramuscular hemangioma of extraocular muscle.
Conclusion: In this report, we describe the atypical anterior epibulbar presentation of intramuscular hemangioma of the lateral rectus muscle. We discuss the differential diagnoses and management of this rare tumor along with a review of existing literature. Careful surgical resection achieved complete resolution in this case without recurrence.
Competing Interests: The authors have no conflicts of interest to declare.
(© 2024 The Author(s). Published by S. Karger AG, Basel.)
Databáze: MEDLINE