Schiefer U, Petersen D, Hassler W, Wilhelm H, Scheurlen M
Abteilung und Lehrstuhl II, Universitäts-Augenklinik Tübingen.
Klin Monbl Augenheilkd. 1992 Feb;200(2):133-7. doi: 10.1055/s-2008-1045726.
Unilateral narrowing of palpebral fissure and moderately impaired visual acuity induced a 14 years old woman to consult an ophthalmologist. Neuroradiological examination revealed a large osteoma starting from the ethmoid cells and invading both the orbit and the cranial cavity. This case illustrates that proptosis may be absent even in cases of extensive and compact orbital tumors. Therefore, exophthalmos is a common but not an indispensable sign of an orbital tumor. In Gardner's syndrome osteomas are associated with soft tissue tumors, intestinal polyposis and colonic adenomatosis that ultimately progresses to colorectal cancer. This association is frequent enough that a colon examination should be suggested to all patients with osteoma.
一名14岁女性因单侧睑裂狭窄和中度视力受损而咨询眼科医生。神经放射学检查发现一个巨大骨瘤，起源于筛窦，侵犯眼眶和颅腔。该病例表明，即使在广泛且致密的眼眶肿瘤病例中，也可能不存在眼球突出。因此，眼球突出是眼眶肿瘤的常见但非必要体征。在加德纳综合征中，骨瘤与软组织肿瘤、肠道息肉病和结肠腺瘤病相关，最终会发展为结直肠癌。这种关联足够常见，因此应建议所有骨瘤患者进行结肠检查。
