Ronald Kristan, MD

  • 279 Third Ave., #204, Long Branch, New Jersey,07740
    732-222-7373
  • 100 Commons Way, Suite 230, Holmdel, New Jersey,07733
    732-796-7140
  • 180 White Road, Suite 202, Little Silver, New Jersey,07739
    732-219-9220
  • 1963 Hwy 34 South, Bldg. B, Suite 101, Wall Township, New Jersey,07719
    732-222-7373

Orbital Tumors - Herniated Orbital Fat

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General

Clinical features

  • Rarely causes an intraorbital mass lesion
  • Mean age 66 years, 90% men
  • Prolapse is usually into superotemporal quadrant or lateral canthus
  • Usually due to orbital fat herniation through a dehiscence in Tenon's capsule
  • Manifests as unilateral or bilateral yellowish mass
  • Does not recur

Differential diagnosis

  • Pleomorphic lipoma: different clinical presentation; aggregates of bland spindle cells, floret cells and wiry collagen
  • Well differentiated liposarcoma: different clinical presentation; enlarged hyperchromatic cells within fibrous septae

 

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