Primary orbital tumors

Autor: Yehuda G. Adam, Hollon W. Farr
Rok vydání: 1971
Předmět:
Zdroj: The American Journal of Surgery. 122:726-731
ISSN: 0002-9610
DOI: 10.1016/0002-9610(71)90435-1
Popis: Fifty-six patients with primary extraocular orbital tumors were seen during the years 1944 through 1964 at Memorial Hospital for Cancer and Allied Diseases. Of the malignant lesions, the most common were epithelial tumors of the lacrimal gland, malignant lymphoma, and rhabdomyosarcoma. On the basis of the experience being reported, exenterative surgery in conjunction with radiation therapy is recommended for adenoid cystic, malignant mixed tumors, and epidermoid carcinomas of the lacrimal gland. Radiation therapy is recommended for lymphoma. Early exenteration should be the treatment of choice for rhabdomyosarcoma because locally recurrent or metastatic disease occurring after inadequate primary treatment is resistant to any form of management. 34.1 Per cent of the patients with malignant orbital tumors survived five years, but the absolute cure rate was 20.4 per cent in this series. Early diagnosis, aggressive approach to treatment, and closer cooperation between the ophthalmologist and head and neck surgeon should improve the salvage rate.
Databáze: OpenAIRE