Primary intraosseous cavernous hemangioma of the orbit

PURPOSE: Primary orbital intraosseous hemangioma is a rare, benign neoplasm presenting most frequently in patients in their fourth or fifth decade of life. We describe an elderly patient affected by this tumor, METHODS: Case report. RESULTS: A 75-year old man presented with a slowly growing, bony mass in th e left orbital rim inferolaterally. He had a history of nephrectomy because of a renal carcinoma. Computed tomography showed a bony lesion with intern al radiating trabeculations. A biopsy was performed. Histopathologically, t he tumor was an in traosseous cavernous hemangioma, CONCLUSION: Primary intraosseous cavernous hemangioma of the orbit may infr equently affect elderly patients. One indication for surgical removal of th ese tumors in the absence of visual disturbances is to rule out meta static disease in patients with a history of malignancy. (Am J Ophthalmol 2001;13 1:151-152. (C) 2001 by Elsevier Science Inc. All rights reserved.).