Key result
Surgical excision of lacrimal gland epithelioid haemangioma resolves proptosis but leaves residual ptosis and diplopia.
Case Report (n=1)
This case report documents a rare presentation of epithelioid haemangioma involving the lacrimal gland in isolation.
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Adds to sparse literature on isolated lacrimal gland epithelioid haemangioma; leaves open standardized management and functional outcomes.
Editor,—Epithelioid haemangioma (EH) is the preferred name used to describe a rare primary, neoplastic disorder of vascular endothelium with a variable and secondary inflammatory response.1 It is part of a spectrum of epithelioid vascular tumours and has been reported under a number terms, in particular angiolymphoid hyperplasia with eosinophilia. The term Kimura’s disease has been used interchangeably with these terms but this should now be considered a separate disorder.23 We report a case in which EH involved the lacrimal gland in isolation, without systemic eosinophilia or other features of Kimura’s disease. ### CASE REPORT A 77-year-old white woman with no previous medical history presented with a 1 year history of fullness in the right orbit and gradual right ptosis. She had developed epiphora 6 months before presentation and reported a non-specific visual disturbance in the …
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Coombes et al. (1997) conducted a case report in Lacrimal gland epithelioid haemangioma (n=1). Surgical excision (right lateral orbitotomy) was evaluated on Resolution of symptoms. Surgical excision of an isolated lacrimal gland epithelioid haemangioma in a 77-year-old woman resulted in resolution of proptosis, though a mild ptosis and extreme gaze diplopia remained.
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