Imaging of metastatic orbital leiomyosarcoma.
A 74-year-old man with a previous history of lower leg soft tissues leiomyosarcoma and multiple metastasis presented with a progressive painless proptosis of the left eye. Orbital ultrasound, CT, and MRI revealed a large mass in the left medial orbit. The mass was surgically removed and pathologic examination confirmed the diagnosis of a metastatic orbital leiomyosarcoma. The imaging characteristics of this rare tumor are comprehensively detailed, using complementary ultrasound, CT, and MRI, the combination of which allowed planning of total excision of the lesion.
Voros
Gerasimos M
GM
Department of Ophthalmology, Royal Victoria Infirmary, Newcastle Upon Tyne, United Kingdom. gvorosgr@doctors.org.uk
Birchall
Daniel
D
Ressiniotis
Thomas
T
Neoh
Christopher
C
Owen
Rona I
RI
Strong
Nicholas P
NP
D000368:Aged; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009918:Orbital Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000601:surgery; D014057:Tomography, X-Ray Computed