Granular cell tumor is a rare soft tissue neoplasm that commonly affects the head and neck regions. We describe a case of a granular cell tumor of the orbit including its clinical presentation, histopathology, and magnetic resonance imaging findings.

Supratentorial extraventricular ependymomas (STEE) are very rare primary tumors of the central nervous system (CNS). A 19-year-old man complained of headache, hemiparesis and seizures and was admitted to our hospital. Magnetic resonance imaging (MRI) revealed a right frontal intra-axial lesion. The patient underwent surgical treatment, and the tumor was resected successfully. A diagnosis of World Health Organization (WHO) grade 3 STEE was based on microscopic examination and immunohistochemical analysis. The patient was discharged without a neurological deficit.

Preliminary considerations are made about the aesthetic surgery of the hands, stressing the fact that little interest has been devoted to this field. The senile changes of the hand are analyzed, mentioning the presence of sagging and wrinkling, the appearance of senile lentigos and senile keratoses, as well as dilatation of the dorsal veins.The etiology and histology of the senile changes are reviewed, including the effects of actinic rays and gravitational forces. A rational approach is undertaken by means of excision of the sagging skin, phleboexeresis, and chemical exfoliation. Our experience in the last 5 years is analyzed.

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