Concomitant orbital cavernous haemangioma and schwannoma in a patient

A woman aged 39 years presented with right eye painless proptosis and decreased vision since 5 months. Right fundus examination revealed optic disc oedema. CT of the orbit revealed a well-defined homogeneous mass in the intraconal space in both orbits. Surgical excisional biopsy of the orbital lesions was performed. Histopathological examination of the right orbital lesion was suggestive of cavernous haemangioma and the left orbital lesion revealed schwannoma. The patient had an unremarkable postoperative course with improved visual acuity. This case illustrates benign orbital masses of 2 different tissues of origin in a single patient, which has not been described in the literature.

[1]  D. Strianese,et al.  Coexistence of Cavernous Hemangioma and Other Vascular Malformations of the Orbit , 2014, The neuroradiology journal.

[2]  D. Strianese,et al.  An Analysis of 2,480 Space-Occupying Lesions of the Orbit From 1976 to 2011 , 2013, Ophthalmic plastic and reconstructive surgery.

[3]  Jianhua Yan,et al.  Multiple cavernous hemangiomas of the orbit. , 2011, Eye science.

[4]  W. Stewart,et al.  Spectrum of Orbital Disease in South India: An Aravind Study of 6328 Consecutive Patients , 2010, Ophthalmic plastic and reconstructive surgery.

[5]  N. Limbucci,et al.  Are bilateral cavernous hemangiomas of the orbit rare entities? The role of MRI in a retrospective study. , 2008, European journal of radiology.

[6]  M. Sales-Sanz,et al.  Bilateral simultaneous ancient schwannomas of the orbit. , 2007, Ophthalmic plastic and reconstructive surgery.

[7]  D. Evans,et al.  Increasing the specificity of diagnostic criteria for schwannomatosis , 2006, Neurology.

[8]  S. Coons,et al.  Cavernous malformation within a schwannoma: review of the literature and hypothesis of a common genetic etiology , 2006, Acta Neurochirurgica.

[9]  M. Tatli,et al.  Pediatric orbital multifocal cavernous hemangiomas associated with bilateral arachnoid cysts of the middle cranial fossa. Case report and review of the literature. , 2005, Journal of neurosurgery.

[10]  C. Sommer,et al.  Juxtaposition of an Epidural Intraforaminal Cavernous Hemangioma and an Intradural Schwannoma , 2004, Spine.

[11]  C. Shields,et al.  Survey of 1264 patients with orbital tumors and simulating lesions: The 2002 Montgomery Lecture, part 1. , 2004, Ophthalmology.

[12]  Yanjin He,et al.  Histopathologic classification of 3 476 orbital diseases. , 2002, [Zhonghua yan ke za zhi] Chinese journal of ophthalmology.

[13]  P. Rubin,et al.  Bilateral multifocal hemangiomas of the orbit in the blue rubber bleb nevus syndrome. , 2002, Ophthalmology.

[14]  Arun D. Singh,et al.  Bilateral cavernous haemangiomas of the orbit , 2000, The British journal of ophthalmology.

[15]  A. Garner,et al.  Bilateral multiple cavernous haemangiomas of the orbit. , 1992, The British journal of ophthalmology.

[16]  T. Johnson,et al.  Enchondromatosis and hemangioma (Maffucci's syndrome) with orbital involvement. , 1990, American journal of ophthalmology.

[17]  D. Char,et al.  Bilateral orbital cavernous haemangiomas. , 1988, The British journal of ophthalmology.

[18]  S. Agawa,et al.  Multiple cavernous hemangiomas of the orbits. , 1988, Surgical neurology.