Subclinical Progressive Course of Orbital Cholesteatoma. Clinical Case
https://doi.org/10.18008/1816-5095-2026-2-402-408
Abstract
A clinical case of subclinical orbital cholesteatoma is presented, where disease progression was diagnosed using dynamic magnetic resonance imaging (MRI) over 14 years. Considering the localization of the lesion, a transcutaneous subperiosteal exploratory orbitotomy was performed, involving the complete removal of tumor masses followed by histopathological and immunohistochemical examination of the surgical material. The importance of assessing the tumor’s histopathological characteristics lies in the need for differential diagnosis between cholesteatoma and cholesterol granuloma of the orbit, which significantly impacts prognosis and followup strategies. Given the risk of recurrence, the patient in this case was informed about the necessity of regular check-ups and orbital computed tomography (CT) for monitoring.
About the Authors
I. E. Panova
The Saint Petersburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution;
North-Western State Medical University named after I.I. Mechnikov;
Saint Petersburg State University
Russian Federation
Russian Federation
Panova Irina E. - MD, Professor, deputy director for Scientific work
Yaroslav Gashek str., 21, Saint Petersburg, 192283;
Kirochnaya str., 41, Saint Petersburg, 191015;
Universitetskaya Emb., 7–9, Saint Petersburg, 199034
M. V. Melikhova
The Saint Petersburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Melikhova Mariia V. - PhD, head оf the Oculoplastics, Ophthalmooncology, and Radiotherapy Department, ophthalmologist
Yaroslav Gashek str., 21, Saint Petersburg, 192283
E. M. Svistunova
The Saint Petersburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
Svistunova Evgeniya M. - ophthalmologist
Yaroslav Gashek str., 21, Saint Petersburg, 192283
S. L. Vorobyev
National Center for Clinical Morphological Diagnostics
Russian Federation
Russian Federation
Vorobyev Sergey L. - PhD, director of “National Center for Clinical Morphological Diagnostics”, pathologist
Slavy Ave., 32A, Saint Petersburg, 192071
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Review
For citations:
Panova I.E., Melikhova M.V., Svistunova E.M., Vorobyev S.L. Subclinical Progressive Course of Orbital Cholesteatoma. Clinical Case. Ophthalmology in Russia. 2026;23(2):402-408. (In Russ.) https://doi.org/10.18008/1816-5095-2026-2-402-408
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