Sugo Nobuo, Yokota Kyousuke, Nemoto Masaaki, Hatori Tsutomu, Kano Toshiyuki, Goto Syozo, Seiki Yoshikatsu
Department of Neurosurgery, Toho University Omori Medical Center, Omori-nishi, Ota-ku, Tokyo, Japan.
J Neuroophthalmol. 2007 Mar;27(1):45-7. doi: 10.1097/WNO.0b013e3180321426.
An incidentally diagnosed unilateral orbital mass in a 34-year-old woman grew at an accelerated rate during pregnancy with deterioration of visual function. Removed early after delivery by a transcranial approach, the tumor was histologically diagnosed as a richly vascularized cystic schwannoma containing red blood cell components. The accelerated tumor growth was attributed to intratumoral hemorrhage. Although acoustic schwannomas have been reported to enlarge during pregnancy, this phenomenon has only been described once for orbital schwannomas. Because this type of tumor may enlarge during pregnancy and threaten visual function, surgery should not be delayed.
一名34岁女性偶然诊断出单侧眼眶肿物，孕期肿物生长加速且视功能恶化。产后早期经颅入路切除肿瘤，组织学诊断为富含血管的囊性神经鞘瘤，含有红细胞成分。肿瘤加速生长归因于瘤内出血。尽管已有报道听神经瘤在孕期会增大，但眼眶神经鞘瘤出现这种现象仅被描述过一次。由于这类肿瘤在孕期可能增大并威胁视功能，手术不应延迟。
