Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site

We describe the clinicopathological features of a solid variant of orbital angioleiomyoma. A review of clinical records, diagnostic, and radiographic studies combined with histopathological evaluation with standard histochemical staining and immunohistochemistry was conducted. A 22-year-old male pat...

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Main Authors: Akshay Gopinathan Nair, Vandana Jain, Indumati Gopinathan, Anuradha Murthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=466;epage=468;aulast=Nair
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author Akshay Gopinathan Nair
Vandana Jain
Indumati Gopinathan
Anuradha Murthy
author_facet Akshay Gopinathan Nair
Vandana Jain
Indumati Gopinathan
Anuradha Murthy
author_sort Akshay Gopinathan Nair
collection DOAJ
description We describe the clinicopathological features of a solid variant of orbital angioleiomyoma. A review of clinical records, diagnostic, and radiographic studies combined with histopathological evaluation with standard histochemical staining and immunohistochemistry was conducted. A 22-year-old male patient presented with a mass in the region of the left lacrimal gland that was gradually increasing over the past 2 years. Radiological and clinical examinations showed no signs suspicious of a malignancy and fine needle aspiration cytology was inconclusive. Therefore, an excision biopsy was performed. On histopathological examination, the picture was consistent with a benign spindle cell tumor. Immunohistochemistry showed positivity for CD 34 and CD 31 (markers for vascular endothelium). The tumor also showed positivity for smooth muscle actin and Ki-67 proliferative index was low. Angioleiomyomas are rarely encountered in the orbit and has features seen in leiomyoma as well as some vascular tumor elements. In most cases, surgical excision is usually curative.
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spelling doaj.art-75169a2c78304a3a9d49d86796cb662f2022-12-22T01:25:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-0164646646810.4103/0301-4738.187680Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual siteAkshay Gopinathan NairVandana JainIndumati GopinathanAnuradha MurthyWe describe the clinicopathological features of a solid variant of orbital angioleiomyoma. A review of clinical records, diagnostic, and radiographic studies combined with histopathological evaluation with standard histochemical staining and immunohistochemistry was conducted. A 22-year-old male patient presented with a mass in the region of the left lacrimal gland that was gradually increasing over the past 2 years. Radiological and clinical examinations showed no signs suspicious of a malignancy and fine needle aspiration cytology was inconclusive. Therefore, an excision biopsy was performed. On histopathological examination, the picture was consistent with a benign spindle cell tumor. Immunohistochemistry showed positivity for CD 34 and CD 31 (markers for vascular endothelium). The tumor also showed positivity for smooth muscle actin and Ki-67 proliferative index was low. Angioleiomyomas are rarely encountered in the orbit and has features seen in leiomyoma as well as some vascular tumor elements. In most cases, surgical excision is usually curative.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=466;epage=468;aulast=NairAngioleiomyomahemangiomalacrimal glandorbitproptosistumor
spellingShingle Akshay Gopinathan Nair
Vandana Jain
Indumati Gopinathan
Anuradha Murthy
Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
Indian Journal of Ophthalmology
Angioleiomyoma
hemangioma
lacrimal gland
orbit
proptosis
tumor
title Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
title_full Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
title_fullStr Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
title_full_unstemmed Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
title_short Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site
title_sort solid variant of orbital angioleiomyoma an unusual tumor at an unusual site
topic Angioleiomyoma
hemangioma
lacrimal gland
orbit
proptosis
tumor
url http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=6;spage=466;epage=468;aulast=Nair
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AT indumatigopinathan solidvariantoforbitalangioleiomyomaanunusualtumoratanunusualsite
AT anuradhamurthy solidvariantoforbitalangioleiomyomaanunusualtumoratanunusualsite