1
|
Næser K, Pagh P, Friis P, Heegaard S. A rare case of lacrimal sac angioleiomyoma managed with dacryocystectomy and turbinectomy. Orbit 2024; 43:147-150. [PMID: 35678182 DOI: 10.1080/01676830.2022.2085306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2022] [Accepted: 05/30/2022] [Indexed: 06/15/2023]
Abstract
We report a rare case of a lacrimal sac angioleiomyoma. A 56-year-old woman complained of pain in the right medial canthal region over a period of 2 years. There were no complaints of epiphora or ocular infection, and no visible or palpable masses in the medial canthal region. Computed tomography scan revealed a solid tumor of the lacrimal sac expanding to the nasolacrimal duct and protruding under the inferior turbinate. The tumor was removed by external dacryocystectomy combined with endonasal, endoscopic anterior turbinectomy, and nasal mucosal resection. Histological and immunohistological findings were consistent with an angioleiomyoma of the venous type. There was no recurrence of the tumor at the three-year follow-up. Angioleiomyomas should be included in the differential diagnosis of lacrimal sac tumors. The definitive diagnoses rely on histology and immunohistological reactions. The treatment is complete surgical resection.
Collapse
Affiliation(s)
- Kristian Næser
- Department of Ophthalmology, Aarhus University Hospital, Aarhus, Denmark
| | - Priyanka Pagh
- Department of Ophthalmology, Aarhus University Hospital, Aarhus, Denmark
| | - Per Friis
- Department of Ear, Nose, Throat, Aarhus University Hospital, Aarhus, Denmark
| | - Steffen Heegaard
- Deparment of Ophthalmology and Pathology, Rigshospitalet, University of Copenhagen, Copenhagem, Denmark
| |
Collapse
|
2
|
Escamilla Carpintero Y, Sellares Fabres MT, Blázquez Maña C, Prenafeta Moreno M. Lacrimonasal duct angioleiomyoma. A rare cause of obstruction of the lagrimal drainage system. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2021; 72:262-264. [PMID: 34294227 DOI: 10.1016/j.otoeng.2020.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2020] [Accepted: 03/15/2020] [Indexed: 10/20/2022]
|
3
|
Escamilla Carpintero Y, Sellares Fabres MT, Blázquez Maña C, Prenafeta Moreno M. Angioleiomioma del conducto lacrimonasal. Una rara causa de obstrucción de la vía lagrimal. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2021. [DOI: 10.1016/j.otorri.2020.03.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
4
|
Azhdam AM, Wang Y, Douglas RS, Chang EE, Wu AW. Angioleiomyoma of the nasolacrimal duct: case report and literature review. Orbit 2021; 41:783-785. [PMID: 34057005 DOI: 10.1080/01676830.2021.1933080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Angioleiomyomas are benign tumors composed of smooth muscle and vascular endothelium. While infrequent in overall prevalence, they are exceptionally rare in the head and neck. Herein, we describe the case of a 65-year-old female who was found to have an angioleiomyoma of the right nasolacrimal duct. Endoscopic excision of the lesion along with medial maxillectomy and dacryocystorhinostomy was performed without complication. The current report is one of the few reported cases of angioleiomyoma of the lacrimal drainage system.
Collapse
Affiliation(s)
- Ariel M Azhdam
- Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA.,Division of Otolaryngology - Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Yao Wang
- Division of Oculoplastic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Raymond S Douglas
- Division of Oculoplastic Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Elena E Chang
- Department of Pathology and Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Arthur W Wu
- Division of Otolaryngology - Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA
| |
Collapse
|
5
|
Wong SW, Laybourne J, Irion L, Cook A. A rare case of orbital angioleiomyoma. Orbit 2021; 40:60-64. [PMID: 31994422 DOI: 10.1080/01676830.2020.1717547] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2019] [Accepted: 01/13/2020] [Indexed: 06/10/2023]
Abstract
A 65-year old woman presented with 3-year history of painless, gradual swelling of the right upper eyelid associated with proptosis. Computed tomography (CT) and magnetic resonance imaging (MRI) of the orbit showed a well circumscribed soft tissue mass in the supero-lateral orbit. An excision biopsy of the lesion was performed via lateral orbitotomy. Histopathology examination and immunochemistry staining confirmed the diagnosis of cavernous angioleiomyoma. The tumour was excised completely. Orbital angioleiomyoma is a rare benign tumour and the lesion can cause visual morbidity, particularly when intraconal. Despite sophisticated imaging modalities, histopathological analysis is essential for diagnosis. Angioleiomyoma should be included in the differential diagnosis of well-defined orbital lesions. Complete surgical excision carries a low risk of recurrence.
Collapse
Affiliation(s)
- Shiao Wei Wong
- Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust , Manchester, UK
| | - James Laybourne
- Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust , Manchester, UK
| | - Luciane Irion
- Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust , Manchester, UK
| | - Anne Cook
- Manchester Royal Eye Hospital, Manchester University NHS Foundation Trust , Manchester, UK
| |
Collapse
|
6
|
Nair AG, Jain V, Gopinathan I, Murthy A. Solid variant of orbital angioleiomyoma: An unusual tumor at an unusual site. Indian J Ophthalmol 2017; 64:466-8. [PMID: 27488159 PMCID: PMC4991183 DOI: 10.4103/0301-4738.187680] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
We describe the clinicopathological features of a solid variant of orbital angioleiomyoma. A review of clinical records, diagnostic, and radiographic studies combined with histopathological evaluation with standard histochemical staining and immunohistochemistry was conducted. A 22-year-old male patient presented with a mass in the region of the left lacrimal gland that was gradually increasing over the past 2 years. Radiological and clinical examinations showed no signs suspicious of a malignancy and fine needle aspiration cytology was inconclusive. Therefore, an excision biopsy was performed. On histopathological examination, the picture was consistent with a benign spindle cell tumor. Immunohistochemistry showed positivity for CD 34 and CD 31 (markers for vascular endothelium). The tumor also showed positivity for smooth muscle actin and Ki-67 proliferative index was low. Angioleiomyomas are rarely encountered in the orbit and has features seen in leiomyoma as well as some vascular tumor elements. In most cases, surgical excision is usually curative.
Collapse
Affiliation(s)
- Akshay Gopinathan Nair
- Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, Navi Mumbai, Maharashtra, India
| | - Vandana Jain
- Ophthalmic Plastic Surgery and Ocular Oncology Services, Advanced Eye Hospital and Institute, Navi Mumbai, Maharashtra, India
| | | | | |
Collapse
|
7
|
Lacrimal Sac Smooth Muscle Tumor of Uncertain Malignant Potential. Ophthalmic Plast Reconstr Surg 2016; 33:S29-S31. [PMID: 27306954 DOI: 10.1097/iop.0000000000000726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
A 13-year-old male presented with recurrent left nasolacrimal duct obstruction following endoscopic dacryocystorhinostomy 4 years prior at an outside institution. The past medical history was significant for stage IV neuroblastoma, diagnosed at age 2, requiring surgical resection, induction chemotherapy, autologous bone marrow transplantation and radiation, currently in remission. Preoperative CT scan demonstrated a 2 cm ovoid mass centered in the left lacrimal fossa, consistent with dacryocystocele; however, a solid tumor could not be ruled out. Subsequent surgical exploration of the lacrimal sac revealed a friable, solid mass filling the lacrimal sac, and extending into the duct. The mass was grossly resected with preservation of the lacrimal drainage system and placement of indwelling silicone stents. Histopathology confirmed the diagnosis of smooth muscle tumor of uncertain malignant potential. The patient remained free of epiphora and showed no clinical or radiographic evidence of recurrence at 6 months of follow up.
Collapse
|
8
|
Abstract
A 44-year-old male patient presented with painless progressive proptosis of left eye for the last 20 years. Examination revealed a purplish vascular mass extending from the medial orbital region to the surface of the globe. He underwent complete excision of the mass via an anterior orbitotomy approach. Histopathology and immunohistochemistry revealed a diagnosis of angioleiomyoma. No recurrence was noted at 1 year of follow-up. Angioleiomyomas are benign smooth muscle tumors with an additional vascular component. Their occurrence in the orbit is extremely rare with only three cases reported in literature till date. We report a fourth case of angioleiomyoma of the orbit with the longest duration of presentation of 20 years.
Collapse
Affiliation(s)
- Md Shahid Alam
- a Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya , Medical Research Foundation , Chennai , India
| | - Nirmala Subramanian
- a Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya , Medical Research Foundation , Chennai , India
| | - Kirthi Koka
- a Orbit, Oculoplasty, Reconstructive & Aesthetic Services, Sankara Nethralaya , Medical Research Foundation , Chennai , India
| | - Krishnakumar Subramanian
- b Department of Ocular Pathology , Sankara Nethralaya, Medical Research Foundation , Chennai , India
| |
Collapse
|
9
|
|
10
|
Gozalo AS, Zerfas PM, Starost MF, Elkins WR, Clarke CL. Splenic angioleiomyoma in an owl monkey (Aotus nancymae). J Med Primatol 2011; 39:385-8. [PMID: 20524955 DOI: 10.1111/j.1600-0684.2010.00425.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND An adult male owl monkey (Aotus nancymae) underwent a splenectomy. When the spleen was removed, a small, nodular mass slightly bulging over the splenic surface was noted. METHODS The mass was examined by light and transmission electron microscopy and by immunohistochemistry. RESULTS On light microscopy, the mass was well-circumscribed, non-encapsulated, and composed of haphazardly arranged smooth muscle bundles admixed with numerous small capillary-like structures containing blood. Immunohistochemical (IHC) staining revealed the tumor was strongly positive for smooth muscle actin yielding vascular smooth muscle bundles, and for Factor VIII, staining endothelial cells within the smooth muscle bundles. Transmission electron microscopy (TEM) showed a large portion of the cells to be atypical appearing smooth muscle and a few cells had structures resembling Weibel-Palade bodies indicating endothelial cells. CONCLUSIONS Based on cell morphology, by light and TEM, and IHC a final diagnosis of splenic angioleiomyoma was made. This is, to our knowledge, the first report of an angioleiomyoma in a non-human primate.
Collapse
Affiliation(s)
- Alfonso S Gozalo
- Comparative Medicine Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
| | | | | | | | | |
Collapse
|