By Jeremy Tan, MD
    ASOPRS 2014

    Dr. Tan describes a unique case involving a 5-year-old girl recently adopted from China, who presents for examination with an orbital mass in one eye. Initially, a conservative approach is taken. Instead of performing an evisceration or enucleation, surgeons opt to debulk the lesion to preserve as much soft tissue as possible and stimulate bone growth in the young child. However, 3 years later she returns with a new bony lesion, but with a different morphology. A standard enucleation is performed. Dr. Tan says this is the first case of a recurrent choristoma. Delaying a total resection allowed for more orbital development and the child achieved a good cosmetic outcome.