Savino Gustavo, Aliberti Stefania, Colucci Daniela, Perrotta Vittoria, Balestrazzi Emilio
Department of Ophthalmology, Catholic University of Sacred Heart, Rome, Italy.
Orbit. 2009;28(2-3):176-8. doi: 10.1080/01676830802675877.
To describe a rare case of solitary fibrous tumor of the orbit in a child, clinically misdiagnosed as arterious hemangioma.
A nine-year-old child presented a hard-elastic palpable mass located in the right inferotemporal orbit. Computed tomography, orbital pulsed-wave Doppler and internal carotid artery angiography consented diagnosis of high-vascularization mass probably related to arterious hemangioma with feeder vessel arising from a branch of ophthalmic artery. The orbital mass was surgically removed.
The histological examination showed mesenchimal tumor, CD34 positive, related to solitary fibrous tumor of the orbit.
Solitary fibrous tumor of the orbit should be considered in the differential diagnosis of arterious hemangioma.
描述1例儿童眼眶孤立性纤维瘤病例,该病例临床误诊为动脉性血管瘤。
一名9岁儿童右颞下眼眶可触及质地硬且有弹性的肿块。计算机断层扫描、眼眶脉冲波多普勒检查及颈内动脉血管造影确诊为高血管化肿块,可能与动脉性血管瘤有关,供血血管源自眼动脉分支。眼眶肿块经手术切除。
组织学检查显示为间叶性肿瘤,CD34阳性,符合眼眶孤立性纤维瘤。
眼眶孤立性纤维瘤应列入动脉性血管瘤的鉴别诊断。