Hennis H L, Stewart W C, Neville B, O'Connor K F, Apple D J
Department of Ophthalmology, Medical University of South Carolina, Charleston 29425.
Doc Ophthalmol. 1991;77(1):73-9. doi: 10.1007/BF00154879.
A 54-year-old black female presented with proptosis and reduced visual acuity of the left eye. Computerized tomography (CT) revealed tumor involvement of the left cavernous sinus and posterior orbit. The patient had a nineteen year history of a left-sided jaw tumor which recurred despite surgical and radiation therapy. Biopsy demonstrated a parakeratinized odontogenic keratocyst with areas of transformation into an invasive squamous cell carcinoma. Although a parakeratinized odontogenic keratocyst may be locally invasive, to our knowledge, no case of a parakeratinized odontogenic keratocyst involving the orbit or cavernous sinus previously has been reported.
一名54岁的黑人女性出现左眼眼球突出和视力下降。计算机断层扫描（CT）显示左侧海绵窦和眶后部有肿瘤累及。该患者有左侧颌骨肿瘤病史19年，尽管接受了手术和放射治疗仍复发。活检显示为角化不全的牙源性角化囊肿，伴有向浸润性鳞状细胞癌转变的区域。虽然角化不全的牙源性角化囊肿可能具有局部侵袭性，但据我们所知，此前尚无角化不全的牙源性角化囊肿累及眼眶或海绵窦的病例报道。
