Limawararut Vanessa, Davis Garry, Crompton John, Leibovitch Igal, Selva Dinesh
Department of Ophthalmology & Visual Sciences, University of Adelaide, North Terrace, Adelaide, SA 5000, Australia.
Am J Ophthalmol. 2006 May;141(5):943-5. doi: 10.1016/j.ajo.2005.11.035.
To report the clinical findings and management of multiple, recurrent cavernous hemangiomas of the orbit in a patient with concurrent liver involvement.
Interventional case report.
An analysis of clinical findings, radiology and treatment was conducted with a literature review.
A 35-year-old woman with blurry vision and proptosis was found to have multiple cavernous hemangiomas of the orbit. The tumors were excised completely without complication, and the patient subsequently regained her vision. Fifteen years later, the patient had recurrent, multiple cavernous hemangiomas in the same orbit. Further investigations for vague back pain revealed a presumed cavernous hemangioma in the liver and a presumed schwannoma arising from the neural foramen of the spine at the level of T2 through T4.
Multiple cavernous hemangiomas may recur after complete excision and may exist with concurrent systemic tumors.
报告1例眼眶多发复发性海绵状血管瘤合并肝脏受累患者的临床发现及治疗情况。
介入性病例报告。
对临床发现、影像学检查及治疗进行分析,并进行文献回顾。
一名35岁视力模糊和眼球突出的女性被发现患有眼眶多发海绵状血管瘤。肿瘤被完全切除且无并发症,患者随后视力恢复。15年后,患者在同一眼眶出现复发性多发海绵状血管瘤。对其模糊背痛的进一步检查发现肝脏可能存在海绵状血管瘤,以及在T2至T4水平的脊柱神经孔处可能存在神经鞘瘤。
多发海绵状血管瘤在完全切除后可能复发,并且可能与全身性肿瘤并存。