A 45-year-old-man presented a slightly painful proptosis and diplopia for 7 months. He had been kept elsewhere on oral steroids without evidence of any clinical response over an 8-week period with suspected diagnosis of an inflammatory pseudotumor upon referral to our clinic. An intraoperative biopsy positive for primary liposarcoma was followed by debulking surgery. Exenteration and radiotherapy were performed after pathologic confirmation of this diagnosis. No recurrence has been observed after 2 years of follow-up. We underline the importance of an accurate an early diagnosis in the management of this tumor, delayed in this case because of therapy with steroids.
<b><i>Objective:</i></b> The aim of this study was to investigate the association between rhegmatogenous retinal detachment (RRD) and solar radiation in northwestern Spain. <b><i>Methods:</i></b> All RRD cases in Pontevedra from 2008 and 2014 were retrospectively analyzed. Climatological data from 4 weather stations in the area were collected. The association between RRD incidence and solar radiation was investigated. <b><i>Results:</i></b> A total of 256 RRD cases were identified. There was a seasonal variation in the incidence of RRD with a maximum number of incident cases observed in June and July and a minimum number of cases observed in January and December. An association was found between RRD incidence and solar radiation both monthly (<i>p</i> = 0.004) and bimonthly (<i>p</i> = 0.057). The right eye was more frequently affected than the left eye (<i>p</i> = 0.035). RD cases other than rhegmatogenous showed neither seasonality nor association with radiation. <b><i>Conclusions:</i></b> Solar radiation may play a role in RRD genesis in our area. Laterality could be related to the amount of radiation reaching each eye.
A 84-year-old-woman presented a painless eyelid mass in her right eyelid. A biopsy was made and the anatomopathologic study showed a spiradenoma with malignant changes. The patient rejected any kind of treatment in spite of the prognosis of the lesion. Radiological and pathological features of this infrequent eyelid tumour are discussed.
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