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下眼睑海绵状血管瘤的罕见皮下表现。

Unusual Subcutaneous Presentation of Cavernous Hemangioma in the Lower Eyelid.

作者信息

Bagheri Abbas, Feizi Mohaddeseh, Tavakoli Mehdi

机构信息

Ocular Tissue Engineering Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Ophthalmic Vis Res. 2020 Apr 6;15(2):236-239. doi: 10.18502/jovr.v15i2.6741. eCollection 2020 Apr-Jun.

DOI:10.18502/jovr.v15i2.6741
PMID:32308958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7151512/
Abstract

PURPOSE

To report a patient with cavernous hemangioma (CH) presenting as a "subcutaneous" lower eyelid mass.

CASE REPORT

A 37-year-old man presented with a painless and palpable mass over the right lower eyelid for two years prior to referral. Computed tomography scan revealed a well-defined, lobulated mass located in the mid and lateral portion of the lower eyelid that extended posteriorly to the anterior orbital space. A transcutaneous excisional biopsy was performed. Histopathologic findings of the tumor confirmed CH. Most CHs are intraconal lesions, making our case an unusual presentation for this condition.

CASE REPORT

CH may present superficially in the eyelid and anterior orbital area and thus, although this location is not common, it should be kept in mind as a differential diagnosis for any well-defined eyelid tumor.

摘要

目的

报告一例表现为下睑“皮下”海绵状血管瘤(CH)的患者。

病例报告

一名37岁男性在转诊前两年出现右下睑无痛性可触及肿物。计算机断层扫描显示一个边界清晰、分叶状的肿物位于下睑中外侧部分,向后延伸至眶前间隙。进行了经皮切除活检。肿瘤的组织病理学检查结果证实为CH。大多数CH为肌锥内病变,因此我们的病例是这种情况的不寻常表现。

病例报告

CH可浅表地出现在眼睑和眶前部区域,因此,尽管这个部位并不常见,但对于任何边界清晰的眼睑肿瘤,都应将其作为鉴别诊断考虑在内。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/e7555601b35e/jovr-15-236-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/08c77e2e0a5a/jovr-15-236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/07cd481b727c/jovr-15-236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/e7555601b35e/jovr-15-236-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/08c77e2e0a5a/jovr-15-236-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/07cd481b727c/jovr-15-236-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a7/7151512/e7555601b35e/jovr-15-236-g003.jpg

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本文引用的文献

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Cavernous venous malformation (cavernous hemangioma) of the orbit: Current concepts and a review of the literature.眼眶海绵状静脉畸形(海绵状血管瘤):当前概念及文献综述
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Comparative histology of orbital, hepatic and subcutaneous cavernous venous malformations.眼眶、肝脏及皮下海绵状静脉畸形的比较组织学
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Unusual presentation of an orbital cavernous hemangioma.
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J Craniofac Surg. 2014 Jul;25(4):e348-9. doi: 10.1097/SCS.0000000000000774.
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