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  • Title: Orbital cavernous hemangioma with bone erosion.
    Author: Yan J, Li Y, Wu Z.
    Journal: Graefes Arch Clin Exp Ophthalmol; 2006 Nov; 244(11):1534-5. PubMed ID: 16538454.
    Abstract:
    PURPOSE: To report a rare computed tomography (CT) feature in one case of orbital cavernous hemangioma (OCH). METHODS: Case report. The clinical features, CT findings, and pathological examination are presented. RESULTS: A 43-year-old Chinese man developed slowly progressive proptosis and decreased vision in his left eye over 13 years. The best-corrected visual acuity was 20/400 OS. Fundus examination showed moderate disc pallor in the left eye. CT scan revealed a 3.7 x 3.5-cm homogeneous soft tissue mass occupying nearly the whole retrobulbar space. There was focal bone erosion of both the deep lateral orbital wall and deep superior wall. At surgery, a 3.5 x 3.0 x 3.3-cm purplish, well-defined, round mass was removed intact without complication. The histopathologic examination proved it to be OCH. One year later, the visual acuity recovered to 20/15. CONCLUSION: Patients with OCH may show bone erosion on CT scan, so the presence of bone defect on CT scan should consider the possibility of OCH.
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