alexa Solitary Fibrous Tumour of the Lacrimal Gland with Apparent hemangiopericytoma – Like Characteristics: A Case Study
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Case Report

Solitary Fibrous Tumour of the Lacrimal Gland with Apparent hemangiopericytoma – Like Characteristics: A Case Study

Daniel Kovar1, Jan Lestak2,3,4*, Zdenek Voldrich1, Pavel Voska1, Petr Hrabal1, Tomas Belsan1,2 and Pavel Rozsival4
1The Military University Hospital Prague, Prague 6, Czech Republic
2Clinic JL, V Hurkach 1296/10, Prague, Czech Republic
3Department of Medicine and Humanities, Faculty of Biomedical Engineering, Czech Technical University in Prague, Prague, Czech Republic
4Department of Ophthalmology, Faculty of Medicine in Hradec Kralove, Charles University in Prague and University Hospital Hradec Kralove, Hradec Kralove, Czech Republic
Corresponding Author : Jan Lestak
Eye department of the Clinic JL
V Hurkach 1296/10, 158 00 Prague, Czech Republic
E-mail: [email protected]
Received May 23, 2014; Accepted July 01, 2014; Published July 08, 2014
Citation: Kovar D, Lestak J, Voldrich Z, Voska P, Hrabal P, et al. (2014) Solitary Fibrous Tumour of the Lacrimal Gland with Apparent hemangiopericytoma – Like Characteristics: A Case Study. J Clin Exp Ophthalmol 5:346. doi: 10.4172/2155-9570.1000346
Copyright: © 2014 Kovar D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Hemangiopericytoma (HPC) is a rare tumor originating from the mesenchyme. We will describe the clinical presentations, radiological and operative findings, and pathological features of a patient with lacrimal gland HPC. The patient was a 26-year-old female who presented with swelling of the left upper eye lid progressing over the past 12 months. On ophthalmological examination, no visual impairment was detected, but induration of the left eye was found in the area of the lacrimal gland. Orbital magnetic resonance imaging showed tumorous mass, of size 20 × 8 × 22 mm affecting the lacrimal gland. The patient underwent an anterior orbitotomy, which removed the palpebral portion of the lacrimal gland. Histology did not clarify the diagnosis. Three months after surgery, the tumor size had increased. MRI showed progression of the findings. It was therefore decided to perform a lateral orbitotomy with radical extirpation of the tumor. The morphology of the tumor, including positivity of the immunohistochemical marker CD34, showed predominant characteristics of the HPC. The patient has been subject to a follow-up for the past 84 months and no signs of recurrence or metastases were observed during this period.

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