case_images: PMC3385622_01
case_images: Patient at the onset with inferior displacement of the globe and severe conjunctival chemosis.
case_images: CRIM2012-292147.001.jpg
case_images: PMC3385622_01_CRIM2012-292147.001.jpg
case_images: fig1
case_images: Physical examination revealed a decreased right visual acuity, inferior displacement of the globe, severe conjunctival chemosis, and reduced corneal sensitivity (Figure 1).
case_images: Axial and coronal MRI image showing a right intraconic and extrasonic mass with ocular globe displacement and temporal muscle and zygomatic bone infiltration.
case_images: CRIM2012-292147.002.jpg
case_images: PMC3385622_01_CRIM2012-292147.002.jpg
case_images: fig2
case_images: Computed tomography (CT) and magnetic resonance imaging (MRI) scans revealed a well-defined right intrasonic mass, measuring 5.3 x 4.6 x 3.6 cm, with ocular globe displacement but without involvement of the temporal fossa (Figure 2).
case_images: Orbitozygomatic approach. Tumoral resection and reconstruction with cyanoacrylate.
case_images: CRIM2012-292147.003.jpg
case_images: PMC3385622_01_CRIM2012-292147.003.jpg
case_images: fig3
case_images: Based on these findings, the lesion was resected, and we performed an orbital roof plasty with cyanoacrylate (Figure 3).
case_images: (a) Macroscopic view of the resected specimen. (b) Microphotography (4x) of the neoplasm showing a hemangiopericytoma-like vascular pattern, with proliferation of small, round cells with clear cytoplasm. (c) Closer view of the previous microphotography (40x), showing the small round cells surrounding the vessels. (d) Microphotography (40x) showing the transition between well differentiated cartilage and small cell areas.
case_images: CRIM2012-292147.004.jpg
case_images: PMC3385622_01_CRIM2012-292147.004.jpg
case_images: fig4
case_images: The posterior edge of the ocular globe, the globe itself, and the optic nerve did not show evidence of the neoplasm (Figure 4).