| Popis: |
Introduction: Maliganancies of eye and adnexa affect a variable percentage of all cancers. Several studies have described experiences in orbital exenteration and enucleation in Brazil and other countries around the world, but no such report is available describing the Amazonas State experience. Objectives: Review all cases of radical surgical eye treatment, including orbital exenteration and eye enucleation, at the Head and Neck Department of the Oncology Control Center Foundation (FCECON) – Brazil. Quantify the number of orbital exenterations and eye enucleations over 2 years. Identify the histopathological type of tumor, age, sex, racial group and patients’ origin. Material and Methods: Observational case series of patients who underwent orbital radical surgery at the Head and Neck Department of FCECON between March 1, 2011 and March 31, 2013.Medical records were reviewed and analyzed using Epi-Info 7. Results: 40 patient charts were retrospectively analyzed. Ages ranged from 3 to 89 years (mean of 63.5 years). Of these, 21 were female and 19 were male, most of them European-Amerindian descents. All lesions that led to radical eye surgery were malignant neoplasms; however, none of them were metastatic. Most cases were classified as squamous cell carcinoma (20 cases). Eight eye enucleations and thirty-two orbit exenterations were performed. Conclusion: Late diagnosis of eye tumors seems to contribute to the orbital continuous invasion, conceiving poor prognosis to the patients and a great loss in quality of life. |
