Torrado Carlos Sevillano, Zaldibar Nora Muruzábal, Velasco-Benito Veronica, Fernández-Hermida Roberto
Department of Ophthalmology, Hospital de Cruces, Baracaldo, Vizcaya, Spain.
J Craniofac Surg. 2011 May;22(3):1139-41. doi: 10.1097/SCS.0b013e3182108fdd.
A 45-year-old-man presented a slightly painful proptosis and diplopia for 7 months. He had been kept elsewhere on oral steroids without evidence of any clinical response over an 8-week period with suspected diagnosis of an inflammatory pseudotumor upon referral to our clinic. An intraoperative biopsy positive for primary liposarcoma was followed by debulking surgery. Exenteration and radiotherapy were performed after pathologic confirmation of this diagnosis. No recurrence has been observed after 2 years of follow-up. We underline the importance of an accurate an early diagnosis in the management of this tumor, delayed in this case because of therapy with steroids.
一名45岁男性出现轻度疼痛性眼球突出和复视7个月。他在其他地方接受了口服类固醇治疗，在转诊至我们诊所前的8周内没有任何临床反应，疑似诊断为炎性假瘤。术中活检显示原发性脂肪肉瘤阳性，随后进行了减瘤手术。病理确诊后进行了眼球摘除术和放疗。随访2年后未观察到复发。我们强调在这种肿瘤的治疗中准确早期诊断的重要性，本例因使用类固醇治疗而延误了诊断。
