Orbital tumour due rhinosinusal extension in a patient with Wegener's granulomatosis

Arch Soc Esp Oftalmol. 2016 Sep;91(9):442-5. doi: 10.1016/j.oftal.2016.02.011. Epub 2016 Mar 23.
[Article in English, Spanish]

Abstract

Case report: The case is presented of a 49 year-old woman with an orbital mass originating from the rhinosinus. She had a history of Wegener's granulomatosis, refractory to both biological and immunosuppressive therapy. Clinical examination showed proptosis, diplopia, and restriction of ocular movements.

Discussion: Orbital mass resection was performed, due to its rapid growth, and lack of response to medical treatment.

Keywords: Diplopia; Diplopía; Granulomatosis de Wegener; Orbital tumour; Proptosis; Rhinosinus tumour; Tumoración orbitaria; Tumoración rinosinusal; Wegener's granulomatosis.

Publication types

  • Case Reports

MeSH terms

  • Combined Modality Therapy
  • Diplopia / etiology
  • Disease Progression
  • Drug Resistance
  • Ethmoid Sinus / diagnostic imaging*
  • Ethmoid Sinus / surgery
  • Exophthalmos / etiology
  • Female
  • Granuloma / complications
  • Granuloma / pathology*
  • Granulomatosis with Polyangiitis / complications
  • Granulomatosis with Polyangiitis / drug therapy
  • Granulomatosis with Polyangiitis / pathology*
  • Granulomatosis with Polyangiitis / surgery
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Middle Aged
  • Nasal Cavity / diagnostic imaging*
  • Orbital Diseases / diagnostic imaging
  • Orbital Diseases / pathology*
  • Orbital Diseases / surgery
  • Tomography, X-Ray Computed

Substances

  • Immunosuppressive Agents