J Korean Ophthalmol Soc.  2000 Mar;41(3):777-783.

Mesectodermal Leiomyosarcoma :A Case Report

Affiliations
  • 1Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University.
  • 2Department of Pathology, School of Medicine, Sungkyunkwan University.

Abstract

The mesectodermal leiomyosarcoma of the orbit is extremely rare disease. An 81-year-old woman presented with progressive painless proptosis in her right eye of 1 month duration. Computed tomographic scan of the orbit demonstrated 5-cm size lobulating mass of the right orbit which displaces eyeball anteriorly and bulges out to temporalis portion with severe destruction of lateral orbital wall and intracranial extension. For diagnostic pur-pose, incisional biopsy was performed. Light microscopic examination showed the characteristics of neurogenic tumor. Electron microscopic examination disclosed the features of smooth muscle cells as well as neural differentiation of the tumor, leading to the diagnosis of mesectodermal leiomyosarcoma. To the best of our knowledge, this is the first case of mesectodermal leiomyosar-coma of the orbit in Korea

Keyword

Mesectodermal leiomyosarcoma; Orbital tumor; Proptosis

MeSH Terms

Aged, 80 and over
Biopsy
Diagnosis
Exophthalmos
Female
Humans
Korea
Leiomyosarcoma*
Myocytes, Smooth Muscle
Orbit
Rare Diseases
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