안와 평활근종 1예

• 영문명: Orbital Leiomyoma: A Case Report
• 발행기관: 대한안과학회
• 저자명: 김종신 김남주,Jongshin Kim, MD, Nam Ju Kim, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number2, 294~298쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.02.15

영문 초록

Purpose: To report a case of orbital leiomyoma presenting with proptosis. Case summary: A 69‐year‐old woman presented with a 3‐month history of proptosis in her left eye. Intraocular pressure was 17 mmHg in her right eye and 23 mmHg in her left eye. There was a left hypotropia on upgaze. A fundus examination showed retinal folds in the superotemporal area in her left eye. Computed tomography revealed a 2.6 cm‐sized well‐defined enhancing solid mass in the superotemporal extraconal space of the left orbit, pushing her left eye forward. Lateral orbitotomy, tumor removal, and biopsy were performed. Pathological findings showed a fascicular pattern of benign spindle cells with mild cellular pleomorphism and hyaline degeneration, without mitotic figures. Immunohistochemical stain was positive with smooth muscle actin (SMA), which was compatible with orbital leiomyoma. Conclusions: Orbital leiomyoma is rare, but it should be considered as a differential diagnosis of orbital tumor when the presenting symptom is proptosis and limitation of ocular movement.

키워드

Orbital leiomyoma, Orbital tumor, Proptosis