Assuntos
Dacriocistite/diagnóstico , Infecções Oculares Virais/diagnóstico , Infecções por HIV/diagnóstico , Tuberculose Ocular/diagnóstico , Adulto , Terapia Antirretroviral de Alta Atividade , Antituberculosos/uso terapêutico , Dacriocistite/tratamento farmacológico , Dacriocistite/microbiologia , Dacriocistite/virologia , Infecções Oculares Virais/tratamento farmacológico , Infecções Oculares Virais/virologia , Infecções por HIV/tratamento farmacológico , Infecções por HIV/virologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Mycobacterium tuberculosis/isolamento & purificação , Testes Cutâneos , Escarro/microbiologia , Tomografia Computadorizada por Raios X , Tuberculose Ocular/tratamento farmacológico , Tuberculose Ocular/microbiologia , Tuberculose Pulmonar/diagnóstico , Tuberculose Pulmonar/tratamento farmacológico , Tuberculose Pulmonar/microbiologia , Acuidade VisualRESUMO
A-55-year-old man with a 2-year history of left proptosis with painless swelling of the upper and lateral bulbar conjunctiva was referred. He had developed diplopia in left gaze. Orbital CT showed left proptosis with a mass measuring 2 × 1 cm in the superolateral and lateral left orbit, with lateral rectus muscle infiltration. The lesion was excised and was found to be diffuse, and an infiltrative mass affecting the anterior portion of the lateral rectus muscle was also removed. The histopathologic diagnosis was pleomorphic lipoma. Only 7 cases of pleomorphic lipomas occurring in ocular adnexal tissues or in the orbit have been previously reported, but in none of the cases had an infiltration of the lateral rectus muscle or diplopia been described before. The histopathologic features and differential diagnosis of this type of soft tissue tumor are also described.
