One case of recrudescent biorbital xanthogranuloma
10.3760/cma.j.cn114453-20230830-00038
- VernacularTitle:双眼眼眶复发性黄色肉芽肿1例
- Author:
Li SUN
1
;
Ning LIU
;
Fuling LIU
Author Information
1. 康复大学青岛医院（青岛市市立医院）眼科，青岛 266000
- Keywords:
Granuloma;
Xanthogranuloma;
Orbit
- From:
Chinese Journal of Plastic Surgery
2024;40(6):674-677
- CountryChina
- Language:Chinese
-
Abstract:
On October 9, 2022, a 66-year-old female patient was admitted to Qingdao Hospital, University of Health and Rehabilitation Sciences, because of swollen eyes for more than 10 years, and the relapse after resection of biorbital xanthogranuloma 3 years ago. The patient developed swelling in both eyes with no obvious predisposing causes more than 10 years ago, which worsened gradually, and underwent surgical resection in another hospital, with the pathological finding showing orbital xanthogranuloma, but relapsed 3 years ago. In this admission, the patient underwent the resection of left orbital mass and lacrimal gland mass after systemic hormone therapy. The results of biopsy suggested orbital xanthogranuloma. Combining with clinical manifestations and past-history, the illness was diagnosed as adult-onset xanthogranuloma. On the first year after treatment, the swelling of double upper eyelids and orbits has reduced compared to before, and ocular appearance have regained symmetry substantially. This case was diagnosed by clinical manifestations, past-history, imageological examination and pathological examination, and has a favorable therapeutic effect and the prognosis, providing a reference for the study of this diseases.
