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Application of Deep Learning-Based Medical Image Segmentation via Orbital Computed Tomography
Published on: November 30, 2022
Benign hamartoma masquerading as a deep orbital hemangioma
James B Earl1, Lee Kramm, Vikram D Durairaj
1Department of Ophthalmology, Rocky Mountain linus Eye Institute, University of Colorado, Aurora, CO 80045, USA.
Journal of Pediatric Ophthalmology and Strabismus
|August 4, 2009
Summary
A rare digital hemangioma in an infant presented as a retro-orbital mass. Biopsy revealed a benign hamartoma, not a capillary hemangioma, despite imaging findings.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Dermatology
Background:
- Infantile hemangiomas are common benign vascular tumors.
- Digital hemangiomas are rare, typically affecting digits.
- Orbital involvement in infantile hemangiomas is uncommon.
Observation:
- A 3-month-old infant presented with a digital hemangioma and proptosis of the left eye.
- Imaging studies (ultrasound, CT, MRI) suggested a retro-orbital capillary hemangioma.
- The clinical presentation and imaging were concerning for orbital compromise.
Findings:
- Histopathological examination of the retro-orbital mass revealed benign hamartomatous tissue.
- The biopsy findings were inconsistent with the suspected capillary hemangioma.
- This highlights a discrepancy between imaging and histopathology in rare pediatric orbital masses.
Implications:
- Accurate diagnosis is crucial for appropriate management of pediatric orbital masses.
- Hamartomas can mimic vascular tumors on imaging, necessitating careful histopathological review.
- This case underscores the importance of biopsy in diagnosing orbital lesions, especially in infants.
