Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges

ABSTRACT Osteoblastoma is an uncommon benign bone tumor rarely involving the craniofacial skeleton. Manifestations in the fronto‐orbital region are exceptionally rare. A 19‐year‐old man presented with persistent headache, nausea, vomiting, right eye pain, and longstanding right exophthalmos. Imaging...

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Main Authors: Mohammadhossein Khorraminejad‐Shirazi, Ali Nabavizadeh, Anita Bojnoordi, Dena Firouzabadi, Abbas Rakhsha, Seyed Ali Hosseini, Amirreza Dehghanian
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.70073
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author Mohammadhossein Khorraminejad‐Shirazi
Ali Nabavizadeh
Anita Bojnoordi
Dena Firouzabadi
Abbas Rakhsha
Seyed Ali Hosseini
Amirreza Dehghanian
author_facet Mohammadhossein Khorraminejad‐Shirazi
Ali Nabavizadeh
Anita Bojnoordi
Dena Firouzabadi
Abbas Rakhsha
Seyed Ali Hosseini
Amirreza Dehghanian
author_sort Mohammadhossein Khorraminejad‐Shirazi
collection DOAJ
description ABSTRACT Osteoblastoma is an uncommon benign bone tumor rarely involving the craniofacial skeleton. Manifestations in the fronto‐orbital region are exceptionally rare. A 19‐year‐old man presented with persistent headache, nausea, vomiting, right eye pain, and longstanding right exophthalmos. Imaging revealed a heterogeneous enhancing lesion located in the right anterior cranial fossa‐orbital apex junction causing pressure on the orbital roof. Differential diagnoses included fibrous dysplasia and meningioma. The tumor was resected via frontal craniotomy. Definitive diagnosis of osteoblastoma was achieved postoperatively through histopathological examination and IHC studies. Craniofacial osteoblastomas, especially in the fronto‐orbital region, are exceptionally rare and may present radiological features similar to other bone pathologies. Accurate diagnosis hinges on histopathological evaluation. A multidisciplinary approach is pivotal for successful diagnosis and treatment of such challenging cases.
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institution Kabale University
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language English
publishDate 2025-01-01
publisher Wiley
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series Clinical Case Reports
spelling doaj-art-175fae7e89bc4d54bcc320814a3cc9822025-01-24T05:08:46ZengWileyClinical Case Reports2050-09042025-01-01131n/an/a10.1002/ccr3.70073Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic ChallengesMohammadhossein Khorraminejad‐Shirazi0Ali Nabavizadeh1Anita Bojnoordi2Dena Firouzabadi3Abbas Rakhsha4Seyed Ali Hosseini5Amirreza Dehghanian6Department of Pathology, School of Medicine Jahrom University of Medical Sciences Jahrom IranOtolaryngology Research Center, Department of Otolaryngology Shiraz University of Medical Sciences Shiraz IranDepartment of Pathology, School of Medicine Jahrom University of Medical Sciences Jahrom IranClinical Pharmacy Department, Shiraz School of Pharmacy Shiraz University of Medical Sciences Shiraz IranDepartment of Neurosurgery, School of Medicine Shiraz University of Medical Sciences Shiraz IranDepartment of Neurosurgery, School of Medicine Shiraz University of Medical Sciences Shiraz IranTrauma Research Center Shiraz University of Medical Sciences Shiraz IranABSTRACT Osteoblastoma is an uncommon benign bone tumor rarely involving the craniofacial skeleton. Manifestations in the fronto‐orbital region are exceptionally rare. A 19‐year‐old man presented with persistent headache, nausea, vomiting, right eye pain, and longstanding right exophthalmos. Imaging revealed a heterogeneous enhancing lesion located in the right anterior cranial fossa‐orbital apex junction causing pressure on the orbital roof. Differential diagnoses included fibrous dysplasia and meningioma. The tumor was resected via frontal craniotomy. Definitive diagnosis of osteoblastoma was achieved postoperatively through histopathological examination and IHC studies. Craniofacial osteoblastomas, especially in the fronto‐orbital region, are exceptionally rare and may present radiological features similar to other bone pathologies. Accurate diagnosis hinges on histopathological evaluation. A multidisciplinary approach is pivotal for successful diagnosis and treatment of such challenging cases.https://doi.org/10.1002/ccr3.70073case reportcraniofacialfronto‐orbital regionosteoblastoma
spellingShingle Mohammadhossein Khorraminejad‐Shirazi
Ali Nabavizadeh
Anita Bojnoordi
Dena Firouzabadi
Abbas Rakhsha
Seyed Ali Hosseini
Amirreza Dehghanian
Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
Clinical Case Reports
case report
craniofacial
fronto‐orbital region
osteoblastoma
title Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
title_full Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
title_fullStr Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
title_full_unstemmed Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
title_short Fronto‐Orbital Osteoblastoma With Unilateral Exophthalmos: A Rare Presentation and Review of Diagnostic Challenges
title_sort fronto orbital osteoblastoma with unilateral exophthalmos a rare presentation and review of diagnostic challenges
topic case report
craniofacial
fronto‐orbital region
osteoblastoma
url https://doi.org/10.1002/ccr3.70073
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AT anitabojnoordi frontoorbitalosteoblastomawithunilateralexophthalmosararepresentationandreviewofdiagnosticchallenges
AT denafirouzabadi frontoorbitalosteoblastomawithunilateralexophthalmosararepresentationandreviewofdiagnosticchallenges
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