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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2008, Number 4

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Rev Mex Oftalmol 2008; 82 (4)

Tumor fibroso solitario orbitario. Reporte de un caso y revisión de la literatura

Santos-De Luna MA, Márquez-Alarcón L, Salcedo-Casillas G, Rodríguez-Reyes A, Corredor CS
Full text How to cite this article

Language: Spanish
References: 7
Page: 260-262
PDF size: 172.36 Kb.


Key words:

Proptosis, intraconal mass, solitary fibrous tumor, mesenchyma.

ABSTRACT

A case report of a 56 year-old female patient with a history of 4 months progressive proptosis of her left eye and decreased visual acuity is presented. Exploration revealed an afferent pupillary defect, normal eye movements and a 2 mm inferior displacement of the left eye. CT and US studies showed an intraconal occupying mass that caused displacement of structures. Excisional biopsy with lateral approach with an open orbital wall threw a firm ovoid mass of 24 mm diameter. Histopathologic study revealed a solitary fibrous tumor.
The solitary fibrous tumor has a mesenchymal origin and it is exceptionally located in the orbit. The evolution is generally benign with the possibility of recurrence as well as malignant transformation if resection is incomplete. The presented case also offers a brief review of the literature.


REFERENCES

  1. Klemperer P y cols. Primary neoplasms of the pleura: a report of five cases. Arch Pathol 1931; 11:385-412.

  2. Polito E y cols. Orbital solitary fibrous tumor with aggressive behaviour. Three cases and review of the literature. Graefe’s Arch Clin Exp Ophthalmol 2002; 240:570-74.

  3. Dorfman DM. y cols. Solitary fibrous tumor of the orbit. Am J Surg Pathol 1994; 18:281-87.

  4. Dériot JB y cols. Tumeur fibreuse solitaire de l’orbite. J Fr Ophtalmol 2005; 28(9):199-1005.

  5. Cerda M y cols. Solitary fibrous tumor of the orbit: morphological, cytogenetic and molecular features. Neuropathology 2006; 26(6):557-63.

  6. Carrera M y cols. Malignant solitary fibrous tumor of the orbit: report of a case with 8 years follow-up. Eye 2001; 15:102-04.

  7. Hasegawa Ty cols. Frequent expression of bcl-2 protein in solitary fibrous tumors. Jpn J Clin Oncol 1998; 28:86-91.




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Rev Mex Oftalmol. 2008;82