Author/Authors :
Bagheri, Abbas Ocular Tissue Engineering Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran - Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Abbasnia, Ehsan Ocular Tissue Engineering Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran - Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Abrishami, Alireza Department of Radiology - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Rezaie Kanavi, Mozhgan Ocular Tissue Engineering Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran - Ophthalmic Research Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract :
Purpose: To report a rare case of orbital angioleiomyoma (ALM) and its management.
Methods: A 22‑year‑old woman presented with slowly progressive painless axial proptosis. Computed tomography and magnetic resonance
imaging demonstrated a well‑defined intraconal mass that was isointense in T1 and hyperintense in T2 weighted images, heterogeneously
enhanced by gadolinium.
Results: The tumor, despite having significant adhesions to surrounding tissues and noticeable hemorrhage, was excised completely via the
lateral orbitotomy approach. Histopathologic analysis of the specimen was consistent with an orbital ALM. The patient recovered from the
operation uneventfully.
Conclusion: ALM must be considered in the differential diagnoses of orbital tumors.
Keywords :
Angioleiomyoma , Axial proptosis , Orbital tumor , Smooth muscle , Vascular tumor
