AI Article Synopsis

  • - Granular cell tumors are uncommon and represent only 3% of all granular cell tumor cases in the orbit, making diagnosis challenging for medical professionals.
  • - A case of a 37-year-old Chinese woman showed symptoms like double vision, bulging eyes, and limited eye movement due to an intraocular granular cell tumor, which imaging initially suggested was an orbital hemangioma.
  • - Post-surgery pathology confirmed the diagnosis of a granular cell tumor, emphasizing that T2 hypointensity and unrestricted water diffusion in MRI should prompt consideration of this tumor type when evaluating intraocular masses.

Article Abstract

Background: Granular cell tumors are rare neoplasms which can occur in any part of the body. Granular cell tumors of the orbit account for only 3 % of all granular cell tumor cases. Computed tomography and magnetic resonance imaging of the orbit have proven useful for diagnosing orbital tumors. However, the rarity of intraorbital granular cell tumors poses a significant diagnostic challenge for both clinicians and radiologists.

Case Presentation: We report a case of a 37-year-old Chinese woman with a rare intraocular granular cell tumor of her right eye presenting with diplopia, proptosis, and restriction of ocular movement. Preoperative orbital computed tomography and magnetic resonance imaging with contrast enhancement revealed an enhancing solid, ovoid, well-demarcated, retrobulbar nodule. In addition, magnetic resonance imaging features included an intraorbital tumor which was isointense relative to gray matter on T1-weighted imaging and hypointense on T2-weighted imaging. No diffusion restriction of water was noted on either axial diffusion-weighted images or apparent diffusion coefficient maps. Both computed tomography and magnetic resonance imaging features suggested an intraorbital hemangioma. However, postoperative pathology (together with immunohistochemistry) identified an intraorbital granular cell tumor.

Conclusions: When intraorbital T2 hypointensity and free diffusion of water are observed on magnetic resonance imaging, a granular cell tumor should be included in the differential diagnosis of an intraocular tumor.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866422PMC
http://dx.doi.org/10.1186/s13256-016-0896-5DOI Listing

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