A Case of Granular Cell Tumor of the Orbit

Youngdon Kim; Seung Jae Lee; Min Jin Oh

doi:10.3341/jkos.2015.56.1.114

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Kim, Lee, and Oh: A Case of Granular Cell Tumor of the Orbit

Original Article

J Korean Ophthalmol Soc 2015;56(1):114-118.

Published online: 6 September 2015

DOI: https://doi.org/10.3341/jkos.2015.56.1.114

A Case of Granular Cell Tumor of the Orbit

Youngdon Kim, MD, Seung Jae Lee, MD, Min Jin Oh, MD

Department of Ophthalmology, National Medical Center, Seoul, Korea

Address reprint requests to Min Jin Oh, MD, Department of Ophthalmology, National Medical Center,#245 Eulji-ro, Jung-gu, Seoul 100-799, Korea, Tel: 82-2-2260-7237, Fax: 82-2-2272-7237 E-mail: mjin_oh@hotmail.com

Received 1 May 201417 August 2014 Accepted 5 December 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of granular cell tumor of the orbit in a patient, complaining of foreign body sensation due to entropion.

Case summary

A 59-year-old man visited our clinic because of foreign body sensation in the right eye due to entropion. A white mass was noted at the right palpebral conjunctiva, and bulbar conjunctiva chemosis was seen. We performed excisional biopsy and capsulopalpebral fascia repair for lower lid entropion. Histopathological examination revealed a granular cell tumor. There were no complications after surgery.

Conclusions

Granular cell tumor of the orbit is rare, but it should be considered in the differential diagnosis of a mass lesion causing entropion or diplopia.

Keywords: Granular cell tumor, Orbital tumor

References

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Figure 1.

Photographs taken in the nine cardinal directions at the first visit are showing mild limitation of depression of the right eye.

Figure 2.

Axial (left) and coronal (right) orbital CT scans with contrast enhancement demonstrated a welldefined 0.6 × 1.3 × 1.4 cmsized mass of the right inferolateral orbit (white arrow).

Figure 3.

Results of Hematoxylin-Eosin staining (H-E) and im-munohistochemical staining. (A) The tumor consists of granular cytoplasmic cells (H-E, ×400) which were positively stained at (B) periodic acid-Schiff, (C) S-100 protein, (D) CD68, and (E) neuron specific enolase (×400).

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