Lin Shuai-Chun, Kau Hui-Chuan, Yang Ching-Fen, Yang Muh-Hwa, Tsai Chieh-Chih, Kao Shu-Ching, Hsu Wen-Ming
Department of Ophthalmology, Taipei Veterans General Hospital, National Yang-Ming University, Taiwan, Republic of China.
Ophthalmic Plast Reconstr Surg. 2008 Jan-Feb;24(1):74-6. doi: 10.1097/IOP.0b013e318160c938.
A 60-year-old woman sought treatment for right orbital fullness and intermittent headache. CT revealed an inferior orbital mass along the inferior rectus muscle. Incisional biopsy revealed an adenoid cystic carcinoma. Orbital exenteration followed by concurrent radiotherapy and chemotherapy was performed. The lacrimal gland was uninvolved by tumor microscopically. Although rare, adenoid cystic carcinoma must be considered in the differential diagnosis of an orbital tumor, because the unusual location of an orbital adenoid cystic carcinoma may make its early detection difficult.
一名60岁女性因右侧眼眶饱满及间歇性头痛前来就医。CT显示沿下直肌有一个眶下肿物。切开活检显示为腺样囊性癌。随后进行了眶内容剜除术，并同时进行放疗和化疗。显微镜检查显示泪腺未被肿瘤累及。尽管罕见，但在眼眶肿瘤的鉴别诊断中必须考虑腺样囊性癌，因为眼眶腺样囊性癌的不寻常位置可能使其早期检测变得困难。
