Gupta Shweta, Kaliki Swathi, Gowrishankar Swarnalata
L V Prasad Eye Institute, Hyderabad, India.
Department of Ocular Oncology, L V Prasad Eye Institute, Hyderabad, India.
BMJ Case Rep. 2017 Jan 12;2017:bcr2016218638. doi: 10.1136/bcr-2016-218638.
A woman aged 39 years presented with right eye painless proptosis and decreased vision since 5 months. Right fundus examination revealed optic disc oedema. CT of the orbit revealed a well-defined homogeneous mass in the intraconal space in both orbits. Surgical excisional biopsy of the orbital lesions was performed. Histopathological examination of the right orbital lesion was suggestive of cavernous haemangioma and the left orbital lesion revealed schwannoma. The patient had an unremarkable postoperative course with improved visual acuity. This case illustrates benign orbital masses of 2 different tissues of origin in a single patient, which has not been described in the literature.
一名39岁女性，自5个月前起出现右眼无痛性眼球突出及视力下降。右眼眼底检查发现视盘水肿。眼眶CT显示双侧眼眶锥内间隙有边界清晰的均匀肿块。对眼眶病变进行了手术切除活检。右侧眼眶病变的组织病理学检查提示为海绵状血管瘤，左侧眼眶病变显示为神经鞘瘤。患者术后病程平稳，视力改善。该病例说明了一名患者眼眶内起源于两种不同组织的良性肿块，这在文献中尚未有描述。
