RESUMEN
Los leiomiomas son lesiones de lento crecimiento originarias del músculo liso. La localización orbitaria solo ha sido descrita en 25 casos. Sus características histológicas y la ausencia de recurrencia tras la resección total apoyan su comportamiento benigno. Presentamos un caso de hemangioleiomioma intraconal en una mujer de 55 años tratado quirúrgicamente mediante craneotomía fronto-orbitaria con resección total y sin recurrencia de la lesión tras 15 meses de seguimiento. Se discuten los hallazgos histológicos y radiológicos, enfatizando en el papel pronóstico de la cirugía
Leiomyoma are slowly growing lesions arising from smooth muscle. Orbital location hasbeen reported in 25 cases. Histological findings and no recurrence after total resectionsupport their benign behaviour. We report an intraconal orbital haemangioleiomyoma ina 55-year-old female treated by total resection through fronto-orbital craniotomy, with norecurrence after 15 months of follow-up. Radiological and pathological features are discussed, emphasising the prognostic role of the surgery
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Leiomioma/cirugía , Neoplasias Orbitales/cirugía , Tomografía Computarizada por Rayos X , Resultado del TratamientoRESUMEN
Leiomyoma are slowly growing lesions arising from smooth muscle. Orbital location has been reported in 25 cases. Histological findings and no recurrence after total resection support their benign behaviour. We report an intraconal orbital haemangioleiomyoma in a 55-year-old female treated by total resection through fronto-orbital craniotomy, with no recurrence after 15 months of follow-up. Radiological and pathological features are discussed, emphasising the prognostic role of the surgery.
Asunto(s)
Hemangioma Cavernoso/cirugía , Leiomioma/cirugía , Neoplasias Orbitales/cirugía , Craneotomía , Exoftalmia/etiología , Femenino , Estudios de Seguimiento , Hemangioma Cavernoso/complicaciones , Hemangioma Cavernoso/diagnóstico por imagen , Hemangioma Cavernoso/patología , Humanos , Leiomioma/complicaciones , Leiomioma/diagnóstico por imagen , Leiomioma/patología , Persona de Mediana Edad , Neoplasias Orbitales/complicaciones , Neoplasias Orbitales/diagnóstico por imagen , Neoplasias Orbitales/patología , RadiografíaRESUMEN
Giant-cell granuloma is a benign and nonneoplastic lesion with an expansive and locally destructive behavior. It typically involves the mandible and the maxilla. Only 1 case arising from the odontoid process of the axis has been reported previously. The authors report on a 64-year-old man with a giant-cell granuloma of the axis. They review this uncommon entity, emphasizing the complexity of differentiating between this lesion and other giant-cell tumors.