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[Primary orbital leiomyosarcoma: a case report]
1Tianjin Medical University Eye Hospital, Eye Institute and School of Optometry, Tianjin Branch of National Clinical Research Center for Ocular Disease, Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin 300384, China.
[Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology
|September 7, 2022
Summary
A rare orbital leiomyosarcoma in a young woman was successfully treated with tumor resection and orbital evisceration. This case highlights effective management of aggressive orbital tumors with no recurrence over a decade.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Orbital tumors can present with varied symptoms, including proptosis.
- Leiomyosarcoma is a rare malignant mesenchymal tumor that can occur in the orbit.
Observation:
- A 20-year-old female presented with a 3-month history of progressive right eye herniation.
- A large retrobulbar mass was identified, causing significant proptosis.
Findings:
- The orbital mass was surgically resected, with pathological diagnosis of poorly differentiated leiomyosarcoma.
- The tumor's proximity to the optic nerve complicated the resection.
Implications:
- Complete resection and subsequent orbital evisceration led to a favorable outcome.
- Long-term follow-up confirmed no recurrence, suggesting successful management of this rare orbital malignancy.

