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DOI: 10.1055/s-0033-1341415
Resection of a Huge Tufted Angioma of Orbit and Orbitocranial Mesh Reconstruction
Publication History
18 March 2012
20 December 2012
Publication Date:
22 May 2013 (online)
![](https://www.thieme-connect.de/media/jnlsa/2013S01/lookinside/thumbnails/10.1055-s-0033-1341415-1.jpg)
Abstract
Background and Study Aims Tufted angiomas (TAs) are rare, benign vascular neoplasms of childhood mainly localized in the skin and subcutaneous tissues. TAs are progressive, slowly growing, and characteristically involve superficial or deep muscle fascia tissue. TAs are frequently seen before the age of 5 years (60 to 70%) and have no sex predominance. TA following pregnancy or TA among immunosuppressive drug users was rarely reported in literature. TA is extremely rare in patients older than 60 years.
Patient A 73-year-old man presented with right eye pain, redness, burning sensation, swelling, and double vision. On physical examination, his right eye was protruding, hyperemic, and there was a supraorbital palpable mass extending to the lateral orbital wall. Cranial computed tomography and magnetic resonance imaging revealed a heterogeneously enhancing right intraorbital retrobulbar capsulated lesion with intracranial extension. The patient underwent surgery. TA was proven histopathologically.
Conclusion We report the first TA of the orbit with orbital and cranial bone destruction, frontotemporal extension, and loss of vision due to optic nerve compression. The surgical treatment and orbitocranial mesh reconstruction following neurosurgical gross total removal of the lesion is discussed. TAs should be considered in the differential diagnosis of intraorbital tumors. TAs usually persist throughout life but cause no serious symptoms when they are located in the upper thorax, neck, and shoulders. TAs located in the orbit should be excised.
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References
- 1 Lee B, Chiu M, Soriano T, Craft N. Adult-onset tufted angioma: a case report and review of the literature. Cutis 2006; 78: 341-345
- 2 Alessi E, Bertani E, Sala F. Acquired tufted angioma. Am J Dermatopathol 1986; 8: 426-429
- 3 Jang KA, Choi JH, Sung KJ, Moon KC, Koh JK. Congenital linear tufted angioma with spontaneous regression. Br J Dermatol 1998; 138: 912-913
- 4 Allen PW. Three new vascular tumors—Tufted angioma, Kaposiform infantile hemangioendothelioma, and proliferative cutaneous angiomatosis. Int J Surg Pathol 1994; 2: 63-71
- 5 McKenna KE, McCusker G. Spontaneous regression of a tufted angioma. Clin Exp Dermatol 2000; 25: 656-658
- 6 Browning J, Frieden I, Baselga E, Wagner A, Metry D. Congenital, self-regressing tufted angioma. Arch Dermatol 2006; 142: 749-751
- 7 Suarez SM, Pensler JM, Paller AS. Response of deep tufted angioma to interferon alfa. J Am Acad Dermatol 1995; 33: 124-126
- 8 North PE, Kincannon J , eds. Vascular Neoplasms and Neoplastic-like Proliferations. 2nd ed. St. Louis: Elsevier; 2008
- 9 Lam WY, Mac-Moune Lai F, Look CN, Choi PC, Allen PW. Tufted angioma with complete regression. J Cutan Pathol 1994; 21: 461-466
- 10 Mac-Moune Lai F, To KF, Choi PC , et al. Kaposiform hemangioendothelioma: five patients with cutaneous lesion and long follow-up. Mod Pathol 2001; 14: 1087-1092
- 11 Heagerty AH, Rubin A, Robinson TW. Familial tufted angioma. Clin Exp Dermatol 1992; 17: 344-345
- 12 Bernstein EF, Kantor G, Howe N, Savit RM, Koblenzer PJ, Uitto J. Tufted angioma of the thigh. J Am Acad Dermatol 1994; 31 (2 Pt 2) 307-311
- 13 Kim YK, Kim HJ, Lee KG. Acquired tufted angioma associated with pregnancy. Clin Exp Dermatol 1992; 17: 458-459
- 14 Al-Za'abi AM, Ghazarian D, Greenberg GR, Shaw JC. Eruptive tufted angiomas in a patient with Crohn's disease. J Clin Pathol 2005; 58: 214-216
- 15 Chu P, LeBoit PE. An eruptive vascular proliferation resembling acquired tufted angioma in the recipient of a liver transplant. J Am Acad Dermatol 1992; 26 (2 Pt 2) 322-325
- 16 Mahendran R, White SI, Clark AH, Sheehan-Dare RA. Response of childhood tufted angioma to the pulsed-dye laser. J Am Acad Dermatol 2002; 47: 620-622
- 17 Munn SE, Jackson JE, Jones RR. Tufted haemangioma responding to high-dose systemic steroids: a case report and review of the literature. Clin Exp Dermatol 1994; 19: 511-514
- 18 Park KC, Ahn PS, Lee YS, Kim KH, Cho KH. Treatment of angioblastoma with recombinant interferon-alpha 2. Pediatr Dermatol 1995; 12: 184-186
- 19 Basso A, Carizzo C, Kreutel A. Transcranial approach to lesions of the orbit. In: Schmidek HH, Sweet WH, , eds. Operative Neurosurgical Techniques. Philadelphia: WB Saunders; 1995: 205-236
- 20 Gönül E, Timurkaynak E. Lateral approach to the orbit: an anatomical study. Neurosurg Rev 1998; 21: 111-116
- 21 Schipper J, Ridder GJ, Spetzger U, Teszler CB, Fradis M, Maier W. Individual prefabricated titanium implants and titanium mesh in skull base reconstructive surgery. A report of cases. Eur Arch Otorhinolaryngol 2004; 261: 282-290
- 22 Maier W. [Biomaterials in reconstructive skull base surgery]. Laryngorhinootologie 2009; 88 (Suppl. 01) S64-S75