眼眶转移手术的益处。

S Ulivieri, S Toninelli, A Giorgio
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引用次数: 0

摘要

目的:恶性肿瘤转移至眼眶较为罕见,眼眶肿瘤发生转移的仅占5%左右。我们报告一例小细胞肺癌(SCLC)眼眶转移患者的眼眶手术。方法:一名75岁男性主诉左眼眶区及前凸疼痛。头部CT扫描显示左侧球后肿块压迫视神经。胸部及全身CT扫描显示肺左下小叶顶端有一圆形肿块,广泛累及淋巴结。结果:通过外侧入路对左眼眶进行手术干预,完全切除肿块。组织学表现为非间变性小细胞肺癌。结论:眼眶转移患者应行眼眶减压手术,以缓解视神经压迫。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Benefit of surgery in presence of orbital metastasis.

Purpose: Malignant tumors metastatic to the orbit are rare and only about 5% of orbital tumors are metastasis. We report on orbital surgery in a patient with orbital metastasis from small cell lung carcinoma (SCLC).

Methods: A 75-year-old man complained of pain in the left orbital region and proptosis. Head CT scan showed a left retrobulbar mass compressing the optical nerve. Chest and body CT scans showed a round-shaped mass at the apex of the left inferior lobule of the lung and widespread nodal involvement.

Results: A surgical intervention on the left orbit through a lateral approach was performed, with complete removal of the mass. Histology showed features of a non-anaplastic SCLC. A complete restoration of visual acuity was obtained

Conclusions: A debulking orbital surgery, in order to relieve optic nerve compression, should be offered to the patients with orbital metastasis.

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