VB
Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 17, 2026
**Core Concept**
The question tests the ability to diagnose orbital tumors based on their location and characteristics. Orbital tumors can be benign or malignant and vary in their presentation. A retrobulbar orbital tumor within the muscle cone suggests a specific set of differential diagnoses.
**Why the Correct Answer is Right**
Given the description of a well-defined capsule and slowly progressive proptosis, the most likely diagnosis is a **cavernous hemangioma**. This is a common benign orbital tumor that typically presents with gradual proptosis due to its slow growth. The well-defined capsule is characteristic of cavernous hemangiomas, which are usually found within the muscle cone.
**Why Each Wrong Option is Incorrect**
**Option A:** Might be considered if the tumor was more aggressive or had different characteristics.
**Option B:** Could be a possibility but usually presents differently.
**Option D:** Typically has a different presentation and is less common in this context.
**Clinical Pearl / High-Yield Fact**
Cavernous hemangiomas are notable for being the most common benign orbital tumor in adults, often presenting with gradual proptosis and having a characteristic appearance on imaging studies.
**Correct Answer:** C. Cavernous Hemangioma