Intravascular papillary endothelial hyperplasia - a rare finding in the orbital region.
Intravascular papillary endothelial hyperplasia is a benign lesion of vascular origin. It is caused by excessive proliferation of endothelial cells in vascular malformations or normal blood vessels. We report the case of a 58-year-old woman sent to our clinic for surgery of an orbital fat prolapse at her right eye. The clinical examination showed a displacable swelling with a slightly livid aspect approximately 2 cm in diameter under the upper orbital rim. After MRI, a biopsy was carried out leading to the histological diagnosis of intravascular papillary endothelial hyperplasia. The complete excision of the remaining tumor was performed 8 weeks later. We discuss this clinical entity and the management of such lesions in the orbital region.
Schulze
Stephan
S
Department of Ophthalmology, University Hospital Giessen and Marburg GmbH, Marburg, Germany. schulzes@med.uni-marburg.de
Hoerle
Steffen
S
Koop
Gudrun
G
Barth
Peter J
PJ
Huegens-Penzel
Monika
M
Strempel
Ilse
I
D001706:Biopsy; D003937:Diagnosis, Differential; D004730:Endothelium, Vascular / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006965:Hyperplasia; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009918:Orbital Neoplasms / Q000175:diagnosis* / Q000601:surgery