Analysis of clinically suspected orbital cavernomas
Autor: | Annette P. Zimmermann, Walter Sekundo, Andreas M. Sesterhenn, Behfar Eivazi, Susanne Wiegand, Jochen A. Werner, Siegfried Bien, Peter Barth |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent genetic structures Vascular Malformations Treatment results Diagnosis Differential Gross examination Young Adult Cellular and Molecular Neuroscience medicine Humans Child Anamnesis Lymphangioma business.industry Medical record Solitary fibrous tumour Middle Aged Magnetic Resonance Imaging eye diseases Sensory Systems Surgery Ophthalmology Hemangioma Cavernous Treatment Outcome medicine.anatomical_structure Regional Blood Flow Orbital Neoplasms Macroscopic Findings Female Surgical excision business Orbit (anatomy) |
Zdroj: | British Journal of Ophthalmology. 94:1653-1656 |
ISSN: | 0007-1161 |
DOI: | 10.1136/bjo.2009.177147 |
Popis: | Background Orbital cavernomas are low-flow vascular malformations that are the most common benign neoplasms of the orbit in adults, typically becoming symptomatic in the middle age. Methods The medical records of six patients with clinically suspected orbital cavernomas receiving elective surgical excision were analysed concerning symptoms, physical findings, treatment results and visual outcome. The pathologic slides were evaluated, and additional immunohistochemical stains were done if necessary to obtain diagnosis. Results Histologic evaluation revealed three of six cases not being cavernomas, although the clinical and macroscopic findings were consistent with orbital cavernomas. Two of them were haemorrhagic lymphangiomas, and one was a solitary fibrous tumour. Conclusions Haemorrhagic lymphangiomas and other vascular tumours may mimic orbital cavernomas regarding anamnesis, radiologic and intraoperative findings and gross examination. Therefore, exact histologic evaluation is necessary to get the correct diagnosis. |
Databáze: | OpenAIRE |
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