Liu Chun-Hsi, Ku Wan-Jen, Chang Liang-Che, Ma Lih, Tsai Yueh-Ju
Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan, ROC.
Chang Gung Med J. 2003 Nov;26(11):847-50.
Idiopathic granulomatous inflammation is regarded as a histopathologic variant of an orbital pseudotumor and has a similar clinical presentation and treatment. However, the differential diagnosis including sarcoidosis, Wegener's granulomatosis, trauma, and infection must be ruled out. We present a 77-year-old man with a biopsy-proven lacrimal gland granulomatous inflammation of an unknown origin. Management by surgical debulking via an anterior orbitotomy achieved a good result with minimal complications.
特发性肉芽肿性炎症被视为眼眶假瘤的一种组织病理学变体，具有相似的临床表现和治疗方法。然而，必须排除包括结节病、韦格纳肉芽肿、外伤和感染在内的鉴别诊断。我们报告一例77岁男性，经活检证实为不明原因的泪腺肉芽肿性炎症。通过前路眶切开术进行手术减瘤治疗取得了良好效果，并发症极少。
