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[Reparative giant cell granuloma with orbital involvement]
C W Spraul1, T H Wojno, H E Grossniklaus
1L. F. Montgomery Eye Pathology Laboratory, Emory University School of Medicine Atlanta, GA, USA.
Klinische Monatsblatter Fur Augenheilkunde
|August 1, 1997
Summary
A firm orbital mass in a 54-year-old woman was successfully removed. Histology confirmed a giant-cell reparative granuloma, though differential diagnosis requires clinicopathologic correlation.
Area of Science:
- Ophthalmology
- Neurosurgery
- Otolaryngology
- Pathology
Background:
- Orbital masses can present with varied symptoms and require multidisciplinary evaluation.
- Giant-cell (reparative) granulomas are rare benign lesions that can occur in the orbit.
Observation:
- A 54-year-old female presented with a year-long history of a left orbital mass.
- Clinical examination revealed superolateral displacement of the left eye and a palpable medial orbital mass.
Findings:
- Complete surgical resection was achieved using a combined superior orbital approach involving neurosurgery, otolaryngology, and ophthalmology.
- Histopathological examination identified the mass as a giant-cell (reparative) granuloma.
Implications:
- The case highlights the importance of clinicopathologic correlation, including radiographic studies, for differentiating giant-cell reparative granulomas from similar fibroosseous lesions.
- Multidisciplinary surgical approaches are effective for managing complex orbital masses.