RESUMO
Orbital lipoma is a rare entity with only a small number of cases previously described. The authors describe a case of orbital lipoma in a 56-year-old man, which was treated with surgical excision. Cytogenetic analysis of the lesion demonstrated abnormalities of chromosome 12, consistent with chromosomal abnormalities in lipomas found elsewhere in the body. Therefore, cytogenetic analysis may be useful to differentiate lipomatous tumors from normal orbital fat.
Assuntos
Aberrações Cromossômicas , Cromossomos Humanos Par 12 , Lipoma/genética , Neoplasias Orbitárias/genética , Análise Citogenética , Humanos , Hibridização in Situ Fluorescente , Lipoma/diagnóstico , Lipoma/cirurgia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Neoplasias Orbitárias/diagnóstico , Neoplasias Orbitárias/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Mohs' micrographic surgery (MMS) is an effective means of margin control in the management of periocular basal cell carcinomas (BCC). We describe three cases of recurrent BCC that presented with progressive eyelid contracture after MMS. They illustrate high-risk factors for recurrence, namely large tumor size, medial canthal location, previous treatment, and aggressive histological features. Careful long-term surveillance with serial photography may identify early eyelid contracture and thus assist in the detection of recurrent BCC after MMS and improve patient outcome.
Assuntos
Carcinoma Basocelular/cirurgia , Contratura/patologia , Neoplasias Palpebrais/cirurgia , Cirurgia de Mohs , Idoso , Idoso de 80 Anos ou mais , Carcinoma Basocelular/patologia , Contratura/etiologia , Progressão da Doença , Neoplasias Palpebrais/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologiaRESUMO
Cholesterol granuloma is an uncommon entity, occurring typically in the supero-temporal orbit. Recurrence has only rarely been reported. We describe a case of recurrent cholesterol granuloma in a 48-year-old-man to illustrate the clinical features of the condition, and to highlight the importance of complete resection to prevent recurrence.
