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Incidental Hamartoma in an elderly patient: a case report
Tae-Sung Joo1, Hyejee Kim2, In-Ki Park3
1Department of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, 892, Dongnam-ro, Gangdong-gu, Seoul, Republic of Korea, 05278.
BMC Ophthalmology
|August 19, 2020
Summary
This report details a rare orbital neuromuscular hamartoma in an elderly patient. Surgical intervention improved symptoms, highlighting this tumor
Area of Science:
- Ophthalmology
- Neuropathology
- Oncology
Background:
- Neuromuscular hamartoma is an exceptionally rare tumor.
- Orbital involvement is exceedingly uncommon, with few reported cases, especially in adults.
- Typically affects infants and young children, involving peripheral nerves.
Observation:
- A 70-year-old male presented with an incidentally discovered orbital mass.
- The mass, diagnosed histologically as neuromuscular hamartoma, later became symptomatic.
- The patient developed hypertropia and diplopia secondary to inferior rectus muscle palsy.
Findings:
- This case represents the first incidentally detected orbital neuromuscular hamartoma in an older adult.
- The tumor exhibited progression after a prolonged quiescent period, leading to proptosis.
- Surgical management, including superior rectus recession and inferior rectus resection, successfully addressed the motility issues.
Implications:
- This case expands the known demographic for orbital neuromuscular hamartoma.
- Highlights the importance of considering rare tumors in adult orbital masses.
- Demonstrates the efficacy of surgical intervention for symptomatic orbital neuromuscular hamartoma.
