Analysis of clinically suspected orbital cavernomas.
BACKGROUND
Orbital cavernomas are low-flow vascular malformations that are the most common benign neoplasms of the orbit in adults, typically becoming symptomatic in the middle age.


METHODS
The medical records of six patients with clinically suspected orbital cavernomas receiving elective surgical excision were analysed concerning symptoms, physical findings, treatment results and visual outcome. The pathologic slides were evaluated, and additional immunohistochemical stains were done if necessary to obtain diagnosis.


RESULTS
Histologic evaluation revealed three of six cases not being cavernomas, although the clinical and macroscopic findings were consistent with orbital cavernomas. Two of them were haemorrhagic lymphangiomas, and one was a solitary fibrous tumour.


CONCLUSIONS
Haemorrhagic lymphangiomas and other vascular tumours may mimic orbital cavernomas regarding anamnesis, radiologic and intraoperative findings and gross examination. Therefore, exact histologic evaluation is necessary to get the correct diagnosis.
Wiegand
S
S
Department of Otolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Marburg, Germany. swiegand@med.uni-marburg.de
Zimmermann
A P
AP
Eivazi
B
B
Sesterhenn
A M
AM
Sekundo
W
W
Bien
S
S
Werner
J A
JA
Barth
P J
PJ
D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006392:Hemangioma, Cavernous / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008202:Lymphangioma / Q000175:diagnosis* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009918:Orbital Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012039:Regional Blood Flow; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000175:diagnosis* / Q000473:pathology; D055815:Young Adult