An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma

Schwannomas are rare lesions of the orbit that can be confused with cavernous hemangioma on imaging studies. We report the case of an 84-year-old woman with a 9-year history of a tumoral lesion in the inferolateral left orbit. The imaging studies did not reveal specific characteristics, only bone re...

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Main Authors: Sara Filipa Teixeira Ribeiro, Tatiana Queirós, José M. Amorim, Ana M. Ferreira, Marco Sales-Sanz
Format: Article
Language:English
Published: Karger Publishers 2017-05-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:http://www.karger.com/Article/FullText/473697
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author Sara Filipa Teixeira Ribeiro
Tatiana Queirós
José M. Amorim
Ana M. Ferreira
Marco Sales-Sanz
author_facet Sara Filipa Teixeira Ribeiro
Tatiana Queirós
José M. Amorim
Ana M. Ferreira
Marco Sales-Sanz
author_sort Sara Filipa Teixeira Ribeiro
collection DOAJ
description Schwannomas are rare lesions of the orbit that can be confused with cavernous hemangioma on imaging studies. We report the case of an 84-year-old woman with a 9-year history of a tumoral lesion in the inferolateral left orbit. The imaging studies did not reveal specific characteristics, only bone remodeling due to the long evolution of the tumor. The patient underwent complete excision of the tumor by anterior orbitotomy via the inferior conjunctival fornix. The histopathological examination revealed an ancient schwannoma, a variant of schwannoma with uncommon histological features. The follow-up was uneventful. The present case emphasizes the importance of considering neural tumors in the differential diagnosis of orbital masses with bone changes and degenerative alterations such as hemorrhagic areas, cysts, and/or calcifications.
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spelling doaj.art-680902700af1427fb3e93385a387fe8c2022-12-22T03:15:24ZengKarger PublishersCase Reports in Ophthalmology1663-26992017-05-018229430010.1159/000473697473697An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient SchwannomaSara Filipa Teixeira RibeiroTatiana QueirósJosé M. AmorimAna M. FerreiraMarco Sales-SanzSchwannomas are rare lesions of the orbit that can be confused with cavernous hemangioma on imaging studies. We report the case of an 84-year-old woman with a 9-year history of a tumoral lesion in the inferolateral left orbit. The imaging studies did not reveal specific characteristics, only bone remodeling due to the long evolution of the tumor. The patient underwent complete excision of the tumor by anterior orbitotomy via the inferior conjunctival fornix. The histopathological examination revealed an ancient schwannoma, a variant of schwannoma with uncommon histological features. The follow-up was uneventful. The present case emphasizes the importance of considering neural tumors in the differential diagnosis of orbital masses with bone changes and degenerative alterations such as hemorrhagic areas, cysts, and/or calcifications.http://www.karger.com/Article/FullText/473697SchwannomaOrbitAncient schwannomaNeurilemmomaOrbital tumorsPeripheral nerve sheath tumor
spellingShingle Sara Filipa Teixeira Ribeiro
Tatiana Queirós
José M. Amorim
Ana M. Ferreira
Marco Sales-Sanz
An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
Case Reports in Ophthalmology
Schwannoma
Orbit
Ancient schwannoma
Neurilemmoma
Orbital tumors
Peripheral nerve sheath tumor
title An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
title_full An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
title_fullStr An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
title_full_unstemmed An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
title_short An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma
title_sort unusual differential diagnosis of orbital cavernous hemangioma ancient schwannoma
topic Schwannoma
Orbit
Ancient schwannoma
Neurilemmoma
Orbital tumors
Peripheral nerve sheath tumor
url http://www.karger.com/Article/FullText/473697
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