PMC3468420_01
Showing bilateral superior orbital masses.
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General examination revealed a petite young woman in no obvious distress but with obvious bilateral swelling on both upper lids (see Fig. 1).
PMC3468420_02
Still photograph of superior orbitotomy to access the superior orbital adult xanthogranuloma.. Note: The reddish yellow to grey lobulated mass protruding from the incision.
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Each mass was found at surgery to consist of a gray, lobulated, soft rubbery mass situated in the superior part of the orbit, between the muscle cone and the periosteum (Fig. 2), with no evidence of infiltration of surrounding tissue but extending deep into the orbital apex.
The excised masses placed adjacent to a ruler for measurement: right measures three and half mm by two and half mm; and the left measures three and half mm by 2 mm.
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Excised tissue from the left measured 3.5 mm by 2 mm (Fig. 3).
Show mainly large foamy cells with both eosinophilic granular abundant cytoplasm and some pale cytoplasm and small blood vessels.
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Showing large foamy cells with mainly pale cytoplasm and fewer eosinophilic granular abundant cytoplasm.. Note: Some giant looking cells are seen though they are not typically touton-like giant cells.
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Showing numerous lymphocytes and plasma cells.
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PMC3468420_03