Department of Ophthalmology, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Ophthalmic Plast Reconstr Surg. 2011 May-Jun;27(3):e74-6. doi: 10.1097/IOP.0b013e3181ed3590.
Solitary fibrous tumor of the orbit is a rare neoplasm that often follows a benign course. Additional involvement beyond the orbit is even rarer, having only been reported in 2 cases previously. The authors describe a 62-year-old patient with a primarily intracranial lesion including orbital extension which was debulked and initially diagnosed as meningioma. Two recurrences 3 and 4 years later disclosed a solitary fibrous tumor, with the initial histopathology being revised to the same diagnosis. This rare presentation of an orbital solitary fibrous tumor highlights the surgical challenge faced when the tumor straddles the cranio-orbital junction and demonstrates the potential for rapid regrowth after incomplete excision.
眼眶孤立性纤维瘤是一种罕见的肿瘤，通常呈良性过程。眼眶以外的其他部位受累更为罕见，以前仅报道过 2 例。作者描述了一名 62 岁患者，其主要颅内病变包括眼眶延伸，病变已部分切除，最初诊断为脑膜瘤。3 年后和 4 年后复发两次，显示为孤立性纤维瘤，最初的组织病理学诊断为相同的疾病。这种眼眶孤立性纤维瘤的罕见表现突出了肿瘤跨越颅眶交界处时所面临的手术挑战，并表明在不完全切除后肿瘤有快速复发的可能。
