Left eye swelling

A 42 y/o male patient presented with swelling over the left eye with watering and redness for 4 weeks. No pain was noted but patient complaints of mild vision loss in left eye. CT of orbit was done that shows mass of 3.7x2.8x2.2 cm seen in inferolateral part of left orbit. What is diagnosis and management plan?

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CT SCAN OF ORBITS SHOWS A MASS IN THE INFERILARERAL ASPECT OF L ORBIT WHICH MEANS LATERAL WALL OF ORBIT IS INVOLVED BY TUMOUR LATERAL WALL OF ORBIT IS BOUNDED BY XYGOMATIC BONE AND GREATER WING OF SPHENIOD SEPARATING IT FROM TEMPORAL FOSSAE SO WE ARE BADICALLY DEALING WITH TEMPORAL FOSSA TUMOUR O ULOPLSTIC SURGERY WITH BIOPSY

*Temporal fossa tumor (ca) **Maxillary sinus Carcinoma FNAC and biopsy can be conclusive and surgical intervention is the option of recovery and avoid any other complications.

Thanks Dr Taimoor Dr Taimoor
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??? Primary Meibomian Gland Carcinoma. R/0 Carcinoma. Adv:- FNAC of Lt Infraorbital swelling.

Could be haemangioma, so beware, do contrast ct, Could be orbital schwannoma although rare Could be a meningioma Needs careful exploration of orbit via lateral orbitotomy with cryoprobe to be present at time of surgery for haemangioma like mass

Inferolateral mass is exocular hence need to look for bone tumors or retro orbital fat collections like lipomas or malignant tumor Hence excision and confirmation by hpe

Differential diagnosis Maxillary sinus mucocele Maxillary sinus carcinoma Osteoma