Episcleral hemangioma as an isolated finding.


PURPOSE To report on a case of episcleral hemangioma in a child. METHODS A 3-year-old boy presented with a 4-week history of limbal mass in the left eye and had an excision of that mass. RESULTS There was an 8 x 7 mm oval lesion, 3-4 mm below the inferior limbus. It was reddish, sharply elevated with smooth surface, and firmly attached to the underlying sclera with two large blood vessels over it. Histopathologic examination demonstrated a cellular lesion containing vascular spaces of various sizes. The solid appearance indicated an increase of cells that appear to be consistent with endothelial cells which formed a nest surrounded by PAS-positive strands. Small to moderate size capillaries were evident throughout the solid portion of the lesion. These findings were consistent with episcleral hemangioma of capillary type. CONCLUSIONS Episcleral hemangioma is a rare tumor and should be included in the differential diagnosis of episcleral tumors. To our knowledge, this is the first reported case of episcleral hemangioma in a child as an isolated finding.

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@article{AlGhadeer2009EpiscleralHA, title={Episcleral hemangioma as an isolated finding.}, author={Huda A. Al-Ghadeer and Ali A. Al-Rajhi and Fenwick C. Riley}, journal={European journal of ophthalmology}, year={2009}, volume={19 2}, pages={292-4} }