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80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

20.05. - 24.05.2009, Rostock

Bilateral orbital tumors – a report of 2 cases

Meeting Abstract

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  • corresponding author Manja Rasch - Klinikum Chemnitz, Chemnitz, Germany
  • Robert Stumpf - Klinikum Chemnitz, Chemnitz, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno091

DOI: 10.3205/09hno091, URN: urn:nbn:de:0183-09hno0910

Published: July 22, 2009

© 2009 Rasch et al.
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Outline

Text

In this case report, we present two patients with bilateral orbital tumors. In both cases, patients presented to the clinic after one year of persistent ophthalmological symptoms, one of the patients with gradual vision loss and the other one with progressive exophthalmus. Both patients had infraorbital tumor detected by CT scan/MRI. Preoperatively, both patients considered to have lymphomatous disease. Tumor biopsy was obtained using endoscopic endonasal technique and sent for histological analysis.

The patient with vision loss had a chronic benign lymphomatoid hyperplasia located in the inferior wall of the orbit, infiltrating infraorbital nerves on both sides. The tumor and the patient’s symptoms could only be controlled by giving repeated boluses of corticosteroid injections as well as a prolonged course of low dose corticosteroid. The other patient with bilateral exophthalmus had a xanthoma in the region of the apex of the orbit. Xanthomas are often associated with lymphoproliferative disorders, which is not true in this case.

Orbital tumors are of rare incidence and often turn out to be lymphomas, meningiomas and hemangiomas, with sporadic bilateral presentation. Chronic benign lymphomatoid hyperplasia and xanthomas are extremely rare, a specific therapy is unknown.