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Orbit (Amsterdam, Netherlands) Jun 2024A 77-year-old Asian female with a history of left orbit exenteration and lid-sparing reconstruction for recurrent sebaceous carcinoma presented with fluid-like sensation...
A 77-year-old Asian female with a history of left orbit exenteration and lid-sparing reconstruction for recurrent sebaceous carcinoma presented with fluid-like sensation of the left orbit. Magnetic resonance imaging (MRI) demonstrated bright T2 signal and a cyst-like cavity within the exenterated orbit. Decision was made to proceed with surgical exploration and excision. A calcified, bone-like cavity was encountered intraoperatively and removed. Histopathology revealed dense fibrous connective tissue with areas of calcification without osseous metaplasia, suggestive of retained blood in the orbit that underwent dystrophic calcification. This case report illustrates a rare occurrence of a bone-like calcific cyst following exenteration.
Topics: Humans; Female; Aged; Magnetic Resonance Imaging; Orbit Evisceration; Orbital Diseases; Calcinosis; Cysts; Sebaceous Gland Neoplasms; Neoplasm Recurrence, Local; Tomography, X-Ray Computed
PubMed: 36573493
DOI: 10.1080/01676830.2022.2151630