Article

Intravascular papillary endothelial hyperplasia - a rare finding in the orbital region.

Department of Ophthalmology, University Hospital Giessen and Marburg GmbH, Marburg, Germany.
Ophthalmologica (impact factor: 1.42). 02/2008; 222(3):213-5. DOI:10.1159/000126086 pp.213-5
Source: PubMed

ABSTRACT Intravascular papillary endothelial hyperplasia is a benign lesion of vascular origin. It is caused by excessive proliferation of endothelial cells in vascular malformations or normal blood vessels. We report the case of a 58-year-old woman sent to our clinic for surgery of an orbital fat prolapse at her right eye. The clinical examination showed a displacable swelling with a slightly livid aspect approximately 2 cm in diameter under the upper orbital rim. After MRI, a biopsy was carried out leading to the histological diagnosis of intravascular papillary endothelial hyperplasia. The complete excision of the remaining tumor was performed 8 weeks later. We discuss this clinical entity and the management of such lesions in the orbital region.

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Keywords

58-year-old woman
 
8 weeks
 
clinical entity
 
clinical examination
 
complete excision
 
displacable
 
endothelial cells
 
excessive proliferation
 
histological diagnosis
 
Intravascular papillary endothelial hyperplasia
 
MRI
 
normal blood vessels
 
orbital fat prolapse
 
orbital region
 
upper orbital rim
 
vascular malformations
 
vascular origin