Publication
Title
Atypical sino-orbital inflammatory myofibroblastic tumor with bone and cerebral invasion extending to the orbit
Author
Abstract
Purpose: To report the case of an atypical sino-orbital inflammatory myofibroblastic tumor. Methods: Case report. Results: A 71-year-old man presented slowly progressive painless diplopia followed by unilateral proptosis of the left eye with slight edema of the upper eyelid. Visual acuity was 0.4 with a relative afferent pupillary defect (RAPD). Abduction and depression of the left eye were limited. Imaging showed a left sino-orbital tumor with mass effect on the medial rectus muscle resulting in proptosis. The lesion showed intracranial extension through the superior orbital fissure with bone erosion and sclerotic bone reaction. Endoscopic ethmoidal, maxillary, and orbital biopsies revealed an inflammatory myofibroblastic tumor. Full blood count showed an eosinophilia while antineutrophil cytoplasmic antibodies and C-reactive protein were negative. To date, 7 cases of orbital myofibroblastic tumor have been described, though none of the prior studies have described bone invasion. Conclusions: This erosive sino-orbital inflammatory myofibroblastic tumor is a novel finding mimicking a malignant tumor.
Language
English
Source (journal)
European journal of ophthalmology. - Milano
Publication
Milano : 2014
ISSN
1120-6721
Volume/pages
24:4(2014), p. 608-610
ISI
000347470700021
Full text (Publisher's DOI)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 13.03.2015
Last edited 09.08.2017
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