Márcia Cristina Todo, Julie Anne Gonçalves de Carvalho, Juliana Bisco Ferreira da Silveira E Freitas, Luís Sérgio Grecca, Fernando Chahud, Antônio Augusto Velasco E Cruz
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引用次数: 0
摘要
一名 88 岁的男性患者因左侧球结膜上的巨大肿块就诊。该肿瘤是在角膜专科医生切除结膜非典型纤维黄瘤（AFX）两个月后出现的。眼眶磁共振成像显示，肿瘤沿着外侧直肌向眼眶深部侵犯。通过保睑眶外扩张术完全切除了肿块和整个结膜囊。组织病理分析证实，肿块是 AFX 的延伸。术后两周，口咽部被确诊为大 B 细胞淋巴瘤。化疗开始后，经过七个月的随访，AFX 没有复发。作者认为这是首例 AFX 侵犯眼眶的报告。
Orbital invasion of a conjunctival atypical fibroxanthoma in a patient with systemic diffuse large B-cell lymphoma.
An 88-year-old male patient presented with a large mass on the left lateral bulbar conjunctiva. The tumor appeared two months after the resection of a conjunctival atypical fibroxanthoma (AFX) performed by a cornea specialist. Magnetic resonance imaging of the orbits showed deep orbital invasion along the lateral rectus muscle. The mass and the entire conjunctival sac were totally excised with lid-sparing orbital exenteration. Histopathological analysis confirmed that the mass was an extension of the AFX. Two weeks after surgery, large B-cell lymphoma was diagnosed in the oropharynx. Chemotherapy was initiated, and after seven months of follow-up, there was no recurrence of the AFX. The authors believe that this is the first report of orbital invasion by AFX.
期刊介绍：
Orbit is the international medium covering developments and results from the variety of medical disciplines that overlap and converge in the field of orbital disorders: ophthalmology, otolaryngology, reconstructive and maxillofacial surgery, medicine and endocrinology, radiology, radiotherapy and oncology, neurology, neuroophthalmology and neurosurgery, pathology and immunology, haematology.
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