title: A Case of Orbital Xanthogranuloma Treated by Surgical Excision.
abstract: Orbital xanthogranuloma is an uncommon tumor. It is usually associated with a systemic or hematological disease. This report presents a rare case of orbital xanthogranuloma associated with heart disease and thrombocytopenia. A 52-year-old female presented with a bilateral periorbital subcutaneous tumor that had existed for 3 years. Although immunoglobulin levels were within the normal limits, thrombocytopenia, slight anemia and increased levels of C-reactive protein and alkaline phosphatase were observed. The mass was excised successfully. The malar flap elevation technique made it easy to approach the periorbital subcutaneous mass. A histopathological study led to a diagnosis of xanthogranuloma based on the presence of infiltration of histiocytes and Touton-type giant cells.
authors.affiliation: Department of Plastic Surgery, Faculty of Medicine, Oita University, Yufu, Japan.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Shimizu
authors.forename: Hiroko
authors.initials: H
authors.lastname: Taneda
authors.forename: Haruaki
authors.initials: H
authors.lastname: Sato
authors.forename: Aiko
authors.initials: A
authors.lastname: Kato
authors.forename: Naoko
authors.initials: N
authors.lastname: Takeo
authors.forename: Sakuhei
authors.initials: S
authors.lastname: Fujiwara