Resection of an orbital lymphangioma with the aid of an intralesional liquid polymer.
A 28-year-old man with long-standing right proptosis presented with an extensive multilobulated partially cystic orbital mass thought to be a lymphangioma. Because of concern that excision or debulking of the lesion was likely to be complicated by excessive bleeding, the lesion was injected with a mixture of ethiodized oil (Ethiodol) and cyanoacrylate glue under direct observation. The mixture caused the injected lobules to assume a firm, rubbery texture, allowing them to be excised without bleeding.
Malhotra
Amit D
AD
Russell H. Morgan Department of Radiology, The Johns Hopkins Hospital, Baltimore, MD, USA.
Parikh
Mona
M
Garibaldi
Daniel C
DC
Merbs
Shannath L
SL
Miller
Neil R
NR
Murphy
Kieran
K
D000328:Adult; D000970:Antineoplastic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003487:Cyanoacrylates / Q000627:therapeutic use; D004998:Ethiodized Oil / Q000627:therapeutic use; D006801:Humans; D015552:Injections, Intralesional; D008202:Lymphangioma / Q000000981:diagnostic imaging / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009918:Orbital Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D011108:Polymers / Q000008:administration & dosage / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler
D000970:Antineoplastic Agents; D003487:Cyanoacrylates; D011108:Polymers; D004998:Ethiodized Oil