Myxoma: An Unusual Aggressive Orbital Lesion

Author:

Quigley Clare1,Tong Jessica Y.1,Farshid Gelareh2,Bonar Fiona3,Selva Dinesh1

Affiliation:

1. South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, Australia

2. South Australian Pathology, Royal Adelaide Hospital, Adelaide, Australia

3. Douglass Hanly Moir Pathology, Macquarie Park, Sydney, Australia

Abstract

Myxoma is a rare tumor that can be challenging to diagnose, with imaging findings that can be nonspecific. We present a case of a 21-year-old man who presented with a subacute history of right visual deterioration and proptosis. Imaging showed a large right superomedial orbital mass of 43 × 31 × 24 mm, which enhanced heterogeneously and was eroding the adjacent orbital roof and medial wall. An excisional biopsy was performed via a lid crease approach under transorbital endoscopic guidance. We review the clinical, radiological, and histological characteristics of myxoma. In addition, we highlight important associations with genetic syndromes including Carney complex and Mazabraud syndrome.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference29 articles.

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