Yu Juan, Li Yunping, Duan Xuanchu
From the Department of Ophthalmology, 2nd Xiangya Hospital of Central South University, Changsha, China.
J Craniofac Surg. 2014 Jan;25(1):e48-51. doi: 10.1097/SCS.0b013e3182a2eec0.
A 59-year-old man presented with a slowly enlarging mass in the lateral orbital rim of the left eye for 1 year. He also reported a history of crania defect in the left front bone (6 years earlier) which was confirmed on the former computed tomographic (CT) scan. On examination, the solid mass lesion located in the left frontal extends to the lateral orbital rim of the left eye. CT scan showed a mass with poorly defined margins, which invaded the neighboring tissue and nearly damaged the bone, and located on the exact site of the preceding crania defect. Complete resection was performed, and the clinical diagnosis of cavernous hemangioma was confirmed on histopathologic examination. Skull cavernous hemangiomas are rare tumors for which the origin is not yet clear. We report a case in which the intraosseous hemangiomas developed at the same site of the preceding crania defect.
一名59岁男性因左眼眶外侧缘有一缓慢增大的肿块1年就诊。他还报告有左侧额骨颅骨缺损病史(6年前),此前的计算机断层扫描(CT)已证实。检查时,位于左额叶的实性肿块病变延伸至左眼眶外侧缘。CT扫描显示一个边界不清的肿块,侵犯邻近组织并几乎破坏骨质,且位于先前颅骨缺损的确切部位。进行了完整切除,组织病理学检查确诊为海绵状血管瘤。颅骨海绵状血管瘤是起源尚不清楚的罕见肿瘤。我们报告一例骨内血管瘤发生于先前颅骨缺损同一部位的病例。