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Analysis of clinically suspected orbital cavernomas
  1. S Wiegand1,
  2. A P Zimmermann1,
  3. B Eivazi1,
  4. A M Sesterhenn1,
  5. W Sekundo2,
  6. S Bien3,
  7. J A Werner1,
  8. P J Barth4
  1. 1Department of Otolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Marburg, Germany
  2. 2Department of Ophthalmology, University Hospital Giessen and Marburg, Marburg, Germany
  3. 3Department of Neuroradiology, University Hospital Giessen and Marburg, Marburg, Germany
  4. 4Institute of Pathology, University Hospital Giessen and Marburg, Marburg, Germany
  1. Correspondence to Dr S Wiegand, Department of Otolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Campus Marburg, Deutschhausstrasse 3, Marburg 35037, Germany; swiegand{at}med.uni-marburg.de

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.

  • Orbit
  • cavernoma
  • lymphangioma
  • solitary fibrous tumour

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Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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