A Case of Orbital Xanthogranuloma Treated by Surgical Excision

• Main Authors: Fumiaki Shimizu, Hiroko Taneda, Haruaki Sato, Aiko Kato, Naoko Takeo, Sakuhei Fujiwara
• Format: Article
• Language: English
• Published: Karger Publishers 2010-07-01
• Series: Case Reports in Dermatology
• Subjects: Xanthogranuloma; Orbital region; Surgical treatment
• Online Access: http://www.karger.com/Article/FullText/316807

Orbital xanthogranuloma is an uncommon tumor. It is usually associated with a systemic or hematological disease. This report presents a rare case of orbital xanthogranuloma associated with heart disease and thrombocytopenia. A 52-year-old female presented with a bilateral periorbital subcutaneous tumor that had existed for 3 years. Although immunoglobulin levels were within the normal limits, thrombocytopenia, slight anemia and increased levels of C-reactive protein and alkaline phosphatase were observed. The mass was excised successfully. The malar flap elevation technique made it easy to approach the periorbital subcutaneous mass. A histopathological study led to a diagnosis of xanthogranuloma based on the presence of infiltration of histiocytes and Touton-type giant cells.