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Orbit ; 27(3): 207-9, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18569831

RESUMO

BACKGROUND: Mazabraud's syndrome was first described, by Mazabraud et al. as a rare disease, associated with single or multiple intramuscular myxomas with monostotic or polyostotic forms of fibrous dyplasia, PURPOSE: Reports of this syndrome is rare and usually associated with myoxomatas. The authors would want to report the occurrence of this rare case associated with a hamartoma as basis for record and future studies. METHOD: An adult male came to the institution 4 years ago complaining of a right unilateral proptosis that he had since childhood. However, proptosis progressed in a month's time accompanied by right eye redness. Right eye was congested with a palpable firm mass on the right lower lid. Best corrected visual acuity was 6/15-2. Pupillary examination revealed the presence of RAPD on the right eye. Exophthalmometry revealed a 10 mm proptosis. EOMS were restricted on the right eye and diplopia was noted in all gazes. Ishihara test showed 14/15 for the right eye. CT SCAN and MRI confirmed a mild inflammatory extraconal or intramuscular mass in the right obito-retrobulbar region. Bony changes seen in the right zygoma, sphenoid bone and squamous part of the temporal bone with extensive bone mineralization. The patient underwent a right lateral orbitotomy with biopsy and debulking of the inferior orbital mass. Histopathology revealed a hamartomatous lesion. CONCLUSION: Due to the associated soft tissue lesion with multiple craniofacial bone changes, this case may be considered a variant of Mazabraud's Syndrome. The associated hamatomatous lesion may be a rare occurrence that should be noted.


Assuntos
Displasia Fibrosa Óssea/patologia , Hamartoma/diagnóstico , Doenças Orbitárias/diagnóstico , Neoplasias de Tecidos Moles/diagnóstico , Biópsia por Agulha , Exoftalmia/diagnóstico , Exoftalmia/etiologia , Displasia Fibrosa Óssea/diagnóstico , Displasia Fibrosa Óssea/cirurgia , Seguimentos , Hamartoma/prevenção & controle , Hamartoma/cirurgia , Humanos , Imuno-Histoquímica , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Doenças Orbitárias/patologia , Doenças Orbitárias/cirurgia , Medição de Risco , Neoplasias de Tecidos Moles/patologia , Neoplasias de Tecidos Moles/cirurgia , Síndrome , Tomografia Computadorizada por Raios X , Resultado do Tratamento
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