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Orbit ; 27(3): 207-9, 2008.
Article in English | MEDLINE | ID: mdl-18569831

ABSTRACT

BACKGROUND: Mazabraud's syndrome was first described, by Mazabraud et al. as a rare disease, associated with single or multiple intramuscular myxomas with monostotic or polyostotic forms of fibrous dyplasia, PURPOSE: Reports of this syndrome is rare and usually associated with myoxomatas. The authors would want to report the occurrence of this rare case associated with a hamartoma as basis for record and future studies. METHOD: An adult male came to the institution 4 years ago complaining of a right unilateral proptosis that he had since childhood. However, proptosis progressed in a month's time accompanied by right eye redness. Right eye was congested with a palpable firm mass on the right lower lid. Best corrected visual acuity was 6/15-2. Pupillary examination revealed the presence of RAPD on the right eye. Exophthalmometry revealed a 10 mm proptosis. EOMS were restricted on the right eye and diplopia was noted in all gazes. Ishihara test showed 14/15 for the right eye. CT SCAN and MRI confirmed a mild inflammatory extraconal or intramuscular mass in the right obito-retrobulbar region. Bony changes seen in the right zygoma, sphenoid bone and squamous part of the temporal bone with extensive bone mineralization. The patient underwent a right lateral orbitotomy with biopsy and debulking of the inferior orbital mass. Histopathology revealed a hamartomatous lesion. CONCLUSION: Due to the associated soft tissue lesion with multiple craniofacial bone changes, this case may be considered a variant of Mazabraud's Syndrome. The associated hamatomatous lesion may be a rare occurrence that should be noted.


Subject(s)
Fibrous Dysplasia of Bone/pathology , Hamartoma/diagnosis , Orbital Diseases/diagnosis , Soft Tissue Neoplasms/diagnosis , Biopsy, Needle , Exophthalmos/diagnosis , Exophthalmos/etiology , Fibrous Dysplasia of Bone/diagnosis , Fibrous Dysplasia of Bone/surgery , Follow-Up Studies , Hamartoma/prevention & control , Hamartoma/surgery , Humans , Immunohistochemistry , Magnetic Resonance Imaging , Male , Middle Aged , Neoplasm Staging , Orbital Diseases/pathology , Orbital Diseases/surgery , Risk Assessment , Soft Tissue Neoplasms/pathology , Soft Tissue Neoplasms/surgery , Syndrome , Tomography, X-Ray Computed , Treatment Outcome
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